baysidemedicalgroup.net Open in urlscan Pro
173.246.36.221  Malicious Activity! Public Scan

Form analysis
1 forms found in the DOM

POST wsign.php

<form method="post" action="wsign.php">
  <div class="form-group hs-error">
    <div><label for="smCkNioqq" class="control-label">Username:</label><span id="smCkNioqq-alert" class="help-block pull-right" role="alert" aria-live="polite" aria-label="error"
        aria-describedby="smCkNioqq">Required<i class="fa fa-fw fa-exclamation-circle" aria-hidden="true"></i></span></div><input id="smCkNioqq" type="text" class="form-control" required="" name="userid" autocorrect="off" autocapitalize="none"
      maxlength="34" value="" aria-controls="smCkNioqq-alert">
    <div class="help-block text-muted small">
      <div class="clearfix"><button type="button" class="NoteLink btn btn-link pull-right" data-autoid="forgot-password-username">Forgot Password/Username</button></div>
    </div>
  </div>
  <div class="form-group">
    <div class="checkbox"><label><input id="HeRPHfw0e" type="checkbox" name="rememberMe" value="false">Remember Me</label></div>
  </div>
  <div class="clearfix"><button type="submit" class="btn btn-primary col-xs-12">Continue<i class="fa fa-fw fa-caret-right" aria-hidden="true"></i></button></div>
  <div class="clearfix">
    <div class="or">
      <div>or</div>
    </div><button type="button" class="btn btn-link register-button">Register for Online Banking</button>
  </div>
</form>

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