kaiserhealthgroup.net Open in urlscan Pro
139.162.47.136  Public Scan

Form analysis
1 forms found in the DOM

Name: login — #

<form name="login" action="#" accept-charset="utf-8" id="frm_login">
  <fieldset>
    <legend>Please Login</legend>
    <label for="username">Username / Email Address</label>
    <input type="text" name="username" placeholder="username" required="" id="username" value="">
    <label for="password">Password</label>
    <input type="password" name="password" placeholder="password" required="" id="password" value="">
    <br>
    <button type="submit" class="btn btn-large xl-padding-top">Login</button>
  </fieldset>
</form>

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