www.simplyhealth.co.uk Open in urlscan Pro
2606:4700::6812:5863  Public Scan

Form analysis
3 forms found in the DOM

#

<form action="#">
  <div class="FieldElement_form_field_container__izpAD">
    <div class="FieldElement_labels_container__8e677"><label data-name-id="general_email_label" for="email" class="FieldElement_register_label__1NECG">Your email</label></div><input name="email" data-testid="general_email_email" type="email"
      id="email" placeholder="Enter your email address" class="FieldElement_email_field__4Y6Xz null" value="">
  </div>
  <div class="FieldElement_form_password_field_container__qDKRE">
    <div class="FieldElement_labels_container__8e677"><label data-name-id="general_password_label" for="password" class="FieldElement_register_label__1NECG">Your password</label></div>
    <div class="FieldElement_password_wrapper__t8jMQ"><input name="password" data-testid="general_password_password" type="password" placeholder="Enter your password" id="password" class="FieldElement_password__IN5nL null" value=""><span
        class="FieldElement_password_toggle_icon_wrapper__ORO4O" data-testid="passwordImage"><img class="FieldElement_password_toggle_icon__RpMrY" src="/member-portal/images/password-visible.svg" alt="Password visible"></span></div>
  </div>
  <p class="SignIn_link_wrapper__ONRYR"><a class="SignIn_link__WD0+N" href="/member-portal/account/forgot-password">Forgot your password?</a></p><button type="submit" data-testid="Login_SignIn_Button" class="Button_send_button__BUQYP">Sign in<img
      class="Button_arrow_image__iyVac" src="https://www.simplyhealth.co.uk/member-portal/static/media/right-arrow.13eaea482a5aae2cf21e9c6dffa59ea4.svg" alt="Arrow"></button>
</form>

POST

<form data-amplify-form="" data-amplify-authenticator-signin="" method="post">
  <div class="amplify-flex" style="flex-direction: column;">
    <fieldset class="amplify-flex" style="flex-direction: column;"><span class="amplify-visually-hidden">
        <legend>Log in</legend>
      </span>
      <div class="amplify-flex amplify-field amplify-textfield"><label class="amplify-label" for="amplify-id-:r1:">Email</label>
        <div class="amplify-flex amplify-field-group amplify-field-group--horizontal" data-orientation="horizontal">
          <div class="amplify-field-group__field-wrapper amplify-field-group__field-wrapper--horizontal" data-orientation="horizontal"><input aria-invalid="false" autocomplete="username" class="amplify-input amplify-field-group__control"
              id="amplify-id-:r1:" required="" type="email" placeholder="Enter your Email" name="username"></div>
        </div>
      </div>
      <div class="amplify-flex amplify-field amplify-textfield amplify-passwordfield"><label class="amplify-label" for="amplify-id-:r4:">Password</label>
        <div class="amplify-flex amplify-field-group amplify-field-group--horizontal" data-orientation="horizontal">
          <div class="amplify-field-group__field-wrapper amplify-field-group__field-wrapper--horizontal" data-orientation="horizontal"><input aria-invalid="false" autocomplete="current-password" class="amplify-input amplify-field-group__control"
              id="amplify-id-:r4:" required="" type="password" placeholder="Enter your Password" name="password"></div>
          <div class="amplify-field-group__outer-end"><button aria-label="Show password" class="amplify-button amplify-field-group__control amplify-field__show-password" data-fullwidth="false" type="button" aria-checked="false" role="switch"><span
                class="amplify-visually-hidden" aria-live="polite">Password is hidden</span><span class="amplify-icon" aria-hidden="true" style="width: 1em; height: 1em;"><svg width="24" height="24" viewBox="0 0 24 24" fill="none"
                  xmlns="http://www.w3.org/2000/svg">
                  <path
                    d="M12 6C15.79 6 19.17 8.13 20.82 11.5C19.17 14.87 15.79 17 12 17C8.21 17 4.83 14.87 3.18 11.5C4.83 8.13 8.21 6 12 6ZM12 4C7 4 2.73 7.11 1 11.5C2.73 15.89 7 19 12 19C17 19 21.27 15.89 23 11.5C21.27 7.11 17 4 12 4ZM12 9C13.38 9 14.5 10.12 14.5 11.5C14.5 12.88 13.38 14 12 14C10.62 14 9.5 12.88 9.5 11.5C9.5 10.12 10.62 9 12 9ZM12 7C9.52 7 7.5 9.02 7.5 11.5C7.5 13.98 9.52 16 12 16C14.48 16 16.5 13.98 16.5 11.5C16.5 9.02 14.48 7 12 7Z"
                    fill="currentColor"></path>
                </svg></span></button></div>
        </div>
      </div>
    </fieldset><button class="amplify-button amplify-field-group__control amplify-button--primary amplify-button--fullwidth" data-fullwidth="true" data-loading="false" data-variation="primary" type="submit">Log in</button>
  </div>
</form>

POST

<form id="fileUploadForm" enctype="multipart/form-data" method="post" target="fileUploadIframe"><input type="file" id="fileSelector" name="file" style="display: none;"><input name="filename" type="hidden"></form>

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