aafiya.ae
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urlscan Pro
18.136.83.208
Public Scan
URL:
https://aafiya.ae/contact-us.php
Submission: On March 26 via manual from YE — Scanned from SG
Submission: On March 26 via manual from YE — Scanned from SG
Form analysis
4 forms found in the DOM<form>
<div class="input-group">
<input class="search-input" placeholder="search" type="text" value="" name="search" id="search-box">
<div id="suggesstion-box" class="suggest-div-s"></div>
<span class="input-group-addon">
<i class="fa fa-search"></i>
</span>
</div>
</form>
<form>
<div class="input-group">
<input class="search-input" placeholder="search" type="text" value="" name="search" id="search-box2">
<div id="suggesstion-box2" class="suggest-div-s"></div>
<span class="input-group-addon">
<i class="fa fa-search"></i>
</span>
</div>
</form>
POST insert_contact.php
<form method="POST" action="insert_contact.php" onsubmit="return validationcontact();" id="feedform">
<div class="form-group">
<input type="text" placeholder="Name" class="form-control" id="namec" name="name">
</div>
<div class="form-group">
<input type="text" placeholder="Location" class="form-control" id="location" name="location">
</div>
<div class="form-group">
<input type="text" placeholder="Email" class="form-control" id="email" name="email">
</div>
<div class="form-group">
<input type="text" placeholder="Mobile Number" class="form-control" id="phone" name="phone" onkeypress="return isNumberKey(event,this)" maxlength="10">
</div>
<div class="form-group">
<textarea form="feedform" class="form-control" name="feed">Your Feedback...</textarea>
</div>
<div class="form-group">
<label for="security">Security Text <span style="color:red;">*</span> </label><img src="classes/captcha.php" width="75" height="40" border="0" align="absmiddle" style="vertical-align: middle;"><br>
<input type="text" name="captchatext" id="captchatext">
<!--<label for="captchatext" class="error" style="display:none; float:right;">Please enter the security text.</label>-->
</div>
<button type="submit" class="button noMarign"> Send </button>
</form>
<form class="_hj-hRovs__styles__form">
<div class="_hj-c8PC+__styles__surveyBody">
<div aria-live="off" class="_hj-S9XKO__styles__surveyTitle " id="hj-survey-lbl-1">How did you find our site?</div>
<div class="_hj-E2-N0__styles__surveyAnswers">
<div aria-labelledby="hj-survey-lbl-1" class="_hj-PtDNs__styles__scaleAnswerWrapper _hj-hTm4+__styles__answersContentWrapper" role="radiogroup">
<div class="_hj-I5foH__styles__scaleOptionsList _hj-PuPNy__styles__ratingScale5"><label class="_hj-CvVSY__styles__scaleOption _hj-VDpLc__styles__dark" style="color: rgb(255, 255, 255) !important;"><input
aria-describedby="hj-surveys-scale-option-label-0-8e0335e6-1a7e-40b8-bfdc-41dc7c08922f" type="radio" aria-label="1" name="4b62b950-29f7-4d2e-9292-68cf5e445e35" value="1"><span aria-hidden="true">1</span></label><label
class="_hj-CvVSY__styles__scaleOption _hj-VDpLc__styles__dark" style="color: rgb(255, 255, 255) !important;"><input type="radio" aria-label="2" name="4b62b950-29f7-4d2e-9292-68cf5e445e35" value="2"><span
aria-hidden="true">2</span></label><label class="_hj-CvVSY__styles__scaleOption _hj-VDpLc__styles__dark" style="color: rgb(255, 255, 255) !important;"><input type="radio" aria-label="3" name="4b62b950-29f7-4d2e-9292-68cf5e445e35"
value="3"><span aria-hidden="true">3</span></label><label class="_hj-CvVSY__styles__scaleOption _hj-VDpLc__styles__dark" style="color: rgb(255, 255, 255) !important;"><input type="radio" aria-label="4"
name="4b62b950-29f7-4d2e-9292-68cf5e445e35" value="4"><span aria-hidden="true">4</span></label><label class="_hj-CvVSY__styles__scaleOption _hj-VDpLc__styles__dark" style="color: rgb(255, 255, 255) !important;"><input
aria-describedby="hj-surveys-scale-option-label-1-6b7d6d4c-34c3-400a-895a-8f455839c75f" type="radio" aria-label="5" name="4b62b950-29f7-4d2e-9292-68cf5e445e35" value="5"><span aria-hidden="true">5</span></label></div>
<div class="_hj-ILZpN__styles__scaleLabels"><span class="_hj-+enB3__styles__scaleLabel _hj-VDpLc__styles__dark" id="hj-surveys-scale-option-label-0-8e0335e6-1a7e-40b8-bfdc-41dc7c08922f">Strongly disagree</span><span
class="_hj-+enB3__styles__scaleLabel _hj-VDpLc__styles__dark" id="hj-surveys-scale-option-label-1-6b7d6d4c-34c3-400a-895a-8f455839c75f">Strongly agree</span></div>
</div>
</div>
</div>
<div class="_hj-XpAaA__styles__surveyFooter">
<div class="_hj-8Lgv6__styles__surveyActions"><button type="button" disabled="" class="_hj-81Zzt__styles__surveyActionButton _hj-O-7CS__styles__surveysPrimaryButton _hj-SU8LU__styles__primaryButton">Next</button></div>
<div class="_hj-PZjqr__styles__surveyBranding">
<a rel="noopener noreferrer" target="_blank" href="https://www.hotjar.com/feedback-surveys?utm_source=client&utm_medium=poll&utm_campaign=insights" class="_hj-fBs9+__styles__link" style="color: rgb(255, 255, 255) !important;"><img alt="Hotjar — Surveys page" class="_hj-KMFsk__styles__logo" src="https://script.hotjar.com/hotjar-white-mono.130b3b.svg"></a>
</div>
</div>
</form>
Text Content
Informizely customer feedback surveys * * Home * About * GM's Message * Corporate Pillars * Our Team * Partner In Growth * Services * Risk Management * Claims Management * Provider Network * Analytical Services * Policy Administration * Call Center * Market Research * International Medical Assistance * Personalized Service * Relationship Doctors * Case Management * Our Partners * Insurance Partner * Overseas Partners * Network * Aafiya Network * Join Our Network * My Aafiya * Mobile App * Aafiya Smart Kiosk * Privileges * Media Lounge * News & Events * Photo Gallery * Videos * Media Kit * Corporate Social Responsibility (CSR) * Login * Insurance Companies * Aafiya Members Login * Provider Network Login * Employee Login * How Can We Help * Ask a question * FAQ * Join our network * Medical Glossary * Sitemap * BMI Calculator * Quick Links * Download claims-form * Download Pre-Authorization Form * Privacy Policy * Terms of Use * ISO 9001-2015 * Contact Us * Blog * Careers * * * Contact Us * Blog * Careers * Login * Insurance Companies * Aafiya Members Login * Provider Network Login * Employee Login * * * * * * About Us * GM's Message * Advisory Board * Awards & Recognitions * Vision, Mission, Values * Corporate Pillars * Our Team * Services * Risk Management * Claims Management * Provider Network * Policy Administration * Call Center * Market Research * Our Partners * Insurance Partner * Overseas Partners * Network * Aafiya Network * Join Our Network * My Aafiya * Dahab * Mobile App * Aafiya Smart Kiosk * Ora Care * Medicine Delivery * Media Lounge * News & Events * Photo Gallery * Videos * Media Kit * Corporate Social Responsibility (CSR) * Grievances CONTACT US LOCATE US ON THE MAP : DUBAI LOCATE US ON THE MAP : ABU DHABI FEEDBACK/SUGGESTION Your Feedback... Security Text * Send EMAIL US General Queries : privilege@aafiya.ae Customer Service : cs@aafiya.ae 24X7 Helpline no: +971 600 54 6669 HEAD OFFICE: Aafiya Medical Billing Services LLC Office # 1101A, Al Saqr Business Tower, 91 Sheikh Zayed Rd, Trade Centre DIFC, Dubai, United Arab Emirates Tel: +971 4 2838116 Fax: +971 4 2838115 ABU DHABI : Aafiya Medical Billing Services LLC P.O. Box No : 25398 Flat # 2402, 24th Floor, ADCP Office Tower – D, Electra Street Behind Honda Showroom, Abu Dhabi, UAE Tel : +971 2 6743055 Fax : +971 2 6788880 Get In Touch With Us HOW CAN WE HELP * Ask a question * FAQ * Join our network * Medical Glossary * Sitemap * BMI Calculator SERVICES * Risk Management * Claims Management * Provider Network * Policy Administration * Market Research QUICK LINKS * Our Partners * Network * News Events * Download claims-form * Download Pre-Authorization Form * Privacy Policy * Terms of Use +971 600 546 669 Aafiya Medical Billing Services LLC Office # 1101A, Al Saqr Business Tower, 91 Sheikh Zayed Rd, Trade Centre DIFC, Dubai, United Arab Emirates privilege@aafiya.ae +971 600 54 6669 Aafiya Medical Billing Services LLC Office # 1101A, Al Saqr Business Tower, 91 Sheikh Zayed Rd, Trade Centre DIFC, Dubai, United Arab Emirates privilege@aafiya.ae © 2023 Aafiya TPA Services How did you find our site? 12345 Strongly disagreeStrongly agree Next