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selfservice.healthcareaustralia.com.au Open in urlscan Pro
103.9.62.132  Public Scan

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Submitted URL: https://selfservice.healthcareaustralia.com.au/
Effective URL: https://selfservice.healthcareaustralia.com.au/Account/Login?ReturnUrl=%2F
Submission: On February 15 via automatic, source certstream-suspicious — Scanned from AU

Form analysis 1 forms found in the DOM

POST /Account/Login?ReturnUrl=%2F

<form action="/Account/Login?ReturnUrl=%2F" class="form-horizontal" method="post" role="form" novalidate="novalidate"><input name="__RequestVerificationToken" type="hidden"
    value="-YRW_SWekg9GkeuXYv7WiUFY3Eo07kppntAS1xsk89KaC16MwezZ8GfibcV8mKt8ihZ9at-cufm-r6MOHwcV_BBak3aWdAi14ddrk6Vt0PQ1">
  <hr>
  <div class="form-group">
    <label class="col-md-2 control-label" for="Email">Email</label>
    <div class="col-md-10">
      <input class="form-control" data-val="true" data-val-email="The Email field is not a valid e-mail address." data-val-required="The Email field is required." id="Email" name="Email" type="text" value="">
      <span class="field-validation-valid text-danger" data-valmsg-for="Email" data-valmsg-replace="true"></span>
    </div>
  </div>
  <div class="form-group">
    <label class="col-md-2 control-label" for="Password">Password</label>
    <div class="col-md-10">
      <input class="form-control" data-val="true" data-val-required="The Password field is required." id="Password" name="Password" type="password">
      <span class="field-validation-valid text-danger" data-valmsg-for="Password" data-valmsg-replace="true"></span>
    </div>
  </div>
  <div class="form-group">
    <div class="col-md-offset-2 col-md-10">
      <div class="checkbox">
        <input data-val="true" data-val-required="The Remember me? field is required." id="RememberMe" name="RememberMe" type="checkbox" value="true"><input name="RememberMe" type="hidden" value="false">
        <label for="RememberMe">Remember me?</label>
      </div>
    </div>
  </div>
  <div class="form-group">
    <div class="col-md-offset-2 col-md-10">
      <input type="submit" value="Log in" class="btn btn-warning">
    </div>
  </div>
  <p>
    <a href="/Account/ForgotPassword">Forgot your password?</a>
  </p>
</form>

Text Content

Self Service
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