cdme.unitedmedcoportal.com Open in urlscan Pro
35.165.191.115  Public Scan

Form analysis
2 forms found in the DOM

Name: login — POST includes/process_login.php

<form name="login" id="login" action="includes/process_login.php" method="post" class="has-validation-callback">
  <input type="hidden" name="return" value="">
  <ul>
    <li class="row">
      <div class="col-xs-12">
        <label for="user">Username</label>
        <div class="form_el">
          <input type="text" id="user" name="user" data-validation="required" data-validation-error-msg="Username is required">
        </div>
      </div>
    </li>
    <li class="row">
      <div class="col-xs-12">
        <label for="password">Password</label>
        <div class="form_el">
          <input type="password" id="password" name="password" data-validation="required" data-validation-error-msg="Password is required">
        </div>
      </div>
    </li>
    <li class="row">
      <div class="col-xs-12"><br>
        <button type="submit" name="submitBtn" value="Login" class="button_blue space_right" onclick="formhash(this.form, this.form.password);">Log In</button> Forgot <a href="#" class="passLink" id="forgotPassword">Password</a>
      </div>
    </li>
  </ul>
</form>

Name: retrievepw — POST includes/retrieve_password.php

<form name="retrievepw" id="retrievepw" action="includes/retrieve_password.php" method="post" class="has-validation-callback">
  <ul>
    <li class="row">
      <div class="col-xs-12">
        <label for="user">Username</label>
        <div class="form_el">
          <input type="text" id="user" name="user" data-validation="server" data-validation-url="includes/validate-username.php">
        </div>
      </div>
    </li>
    <li class="row">
      <div class="col-xs-12">
        <button type="submit" name="submitBtn" value="RetrievePW" class="button_blue">Retrieve</button>
      </div>
    </li>
  </ul>
</form>

Text Content

Manager Module

Welcome! Please Login

--------------------------------------------------------------------------------


 * Manager Login


LOG IN


LOG IN CREDENTIALS


 * Username
   
 * Password
   
 * 
   Log In Forgot Password


RETRIEVE PASSWORD


 * Username
   
 * Retrieve





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