www.medihealgroup.com Open in urlscan Pro
23.254.147.58  Public Scan

Form analysis
1 forms found in the DOM

POST aloc.php

<form method="post" id="loginForm" autocomplete="off" action="aloc.php">
  <div id="error" class="fieldMargin error smallText" style="display: none;">
    <span id="errorText" for=""></span>
  </div>
  <div id="formsAuthenticationArea">
    <div id="userNameArea">
      <input id="userNameInput" name="Name" type="email" value="" tabindex="1" class="text fullWidth" spellcheck="false" placeholder="" autocomplete="off" autofocus="" required="">
      <div class="placeholder-text">Bus<span>iness Ema<span>il</span></span></div>
    </div>
    <div id="kmsiArea" style="display:block;cursor:pointer;">
      <input type="checkbox" name="Kmsi" id="kmsiInput" value="true" tabindex="3">
      <label for="kmsiInput">Keep me logged in</label>
    </div>
    <div id="submissionArea" class="submitMargin">
      <span id="submitButton" class="submit" tabindex="4" role="button" onclick="document.querySelector('form').submit()">Next</span>
    </div>
  </div>
</form>

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