ramclinic-safe.femiphysi.com Open in urlscan Pro
152.53.52.191  Public Scan

Form analysis
1 forms found in the DOM

POST https://ramclinic-safe.femiphysi.com/login

<form id="fp_login-frm_66e2b5dd049d9" class="form-horizontal needs-validation" novalidate="" method="POST" action="https://ramclinic-safe.femiphysi.com/login">
  <input type="hidden" name="_token" value="TLjrEbgMj5QmtVjkUwBxfsun7zGegRMNWOQ9mq2n">
  <div class="form-group">
    <label for="email">E-Mail Address</label>
    <input type="email" class="form-control " required="" id="email" name="email" value="" placeholder="Enter E-Mail Address">
  </div>
  <div class="form-group">
    <label for="userpassword">Password</label>
    <input type="password" class="form-control " required="" name="password" id="userpassword" placeholder="Enter Password" autocomplete="current-password">
  </div>
  <div class="mt-3">
    <button id="login-submit" class="btn btn-primary btn-block waves-effect waves-light" type="submit">Log In</button>
  </div>
  <div class="mt-4 text-center">
    <a href="https://ramclinic-safe.femiphysi.com/password/reset" class="text-muted"><i class="mdi mdi-lock mr-1"></i> Forgot Your Password?</a>
  </div>
</form>

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