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healthforcalifornia.com Open in urlscan Pro
52.9.120.218  Public Scan

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Submitted URL: http://healthforcalifornia.com/
Effective URL: https://healthforcalifornia.com/login
Submission Tags: tranco_l324
Submission: On November 23 via api from DE — Scanned from DE

Form analysis 2 forms found in the DOM

https://healthforcalifornia.com/login

<form class="form-horizontal" role="form" action="https://healthforcalifornia.com/login" id="login_form">
  <input type="hidden" name="_token" value="YCRSAM49sie2jq5SCNWgrexaIftaGtm1EyJuziJE">
  <div class="modal-body width100 pull-left">
    <div class="row pad-lef">
      <div class="col-xl-10 col-xs-10 col-xl-offset-1 col-xs-offset-1 blue-box">
        <h2>Welcome to Metabanq!</h2> Please enter your credentials.
      </div>
      <div class="form-group"></div>
      <div class="col-xs-12">
        <input type="hidden" id="clientInfo" name="client-info" class="client-info"
          value="{&quot;getBrowserData&quot;:{&quot;ua&quot;:&quot;Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/96.0.4664.45 Safari/537.36&quot;,&quot;browser&quot;:{&quot;name&quot;:&quot;Chrome&quot;,&quot;version&quot;:&quot;96.0.4664.45&quot;,&quot;major&quot;:&quot;96&quot;},&quot;engine&quot;:{&quot;name&quot;:&quot;Blink&quot;},&quot;os&quot;:{&quot;name&quot;:&quot;Windows&quot;,&quot;version&quot;:&quot;10&quot;},&quot;device&quot;:{},&quot;cpu&quot;:{&quot;architecture&quot;:&quot;amd64&quot;}},&quot;isIE&quot;:false,&quot;isChrome&quot;:true,&quot;isFirefox&quot;:false,&quot;isSafari&quot;:false,&quot;isOpera&quot;:false,&quot;isWindows&quot;:true,&quot;isMac&quot;:false,&quot;isLinux&quot;:false,&quot;isUbuntu&quot;:false,&quot;isSolaris&quot;:false,&quot;isMobile&quot;:false,&quot;isMobileAndroid&quot;:false,&quot;isMobileOpera&quot;:false,&quot;isMobileWindows&quot;:false,&quot;isMobileBlackBerry&quot;:false,&quot;isMobileIOS&quot;:false,&quot;isIphone&quot;:false,&quot;isIpad&quot;:false,&quot;isIpod&quot;:false,&quot;getColorDepth&quot;:24,&quot;getPlugins&quot;:&quot;Chrome PDF Plugin, Chrome PDF Viewer, Native Client&quot;,&quot;isJava&quot;:false,&quot;getJavaVersion&quot;:&quot;&quot;,&quot;isMimeTypes&quot;:true,&quot;getMimeTypes&quot;:&quot;, Portable Document Format, Native Client Executable, Portable Native Client Executable&quot;,&quot;isFont&quot;:false,&quot;getFonts&quot;:&quot;Arial Black, Arial, Bauhaus 93, Comic Sans MS, Courier New, Georgia, Impact, Lohit Gujarati, Loma, Rachana, Sawasdee, Times New Roman, Trebuchet MS, Ubuntu, Umpush, Verdana, Webdings, &quot;,&quot;isLocalStorage&quot;:true,&quot;isSessionStorage&quot;:true,&quot;isCookie&quot;:true,&quot;getTimeZone&quot;:&quot;GMT&quot;,&quot;getLanguage&quot;:&quot;en-US&quot;,&quot;isCanvas&quot;:true,&quot;getCanvasPrint&quot;:&quot;data:image/png;base64,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&quot;}">
        <div class="form-group">
          <label for="email" class="control-label text-left col-xs-3 col-xs-offset-1">Email</label>
          <div class="col-xs-7 input-group input-group-md pull-left">
            <input type="text" name="email" id="email" class="form-control textTechField blk eMail checkAndEnableDisableSaveButton" placeholder="Enter your email...">
          </div>
        </div>
      </div>
      <div class="col-xs-12">
        <div class="form-group">
          <label for="password" class="control-label text-left col-xs-3 col-xs-offset-1">Password</label>
          <div class="col-xs-7 input-group input-group-md pull-left">
            <input type="password" name="password" id="password" class="form-control textTechField blk checkAndEnableDisableSaveButton" placeholder="Enter your password...">
            <span class="input-group-addon btn password-eye">
              <svg class="svg-inline--fa fa-eye-slash fa-w-20" aria-hidden="true" focusable="false" data-prefix="fa" data-icon="eye-slash" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 640 512" data-fa-i2svg="">
                <path fill="currentColor"
                  d="M320 400c-75.85 0-137.25-58.71-142.9-133.11L72.2 185.82c-13.79 17.3-26.48 35.59-36.72 55.59a32.35 32.35 0 0 0 0 29.19C89.71 376.41 197.07 448 320 448c26.91 0 52.87-4 77.89-10.46L346 397.39a144.13 144.13 0 0 1-26 2.61zm313.82 58.1l-110.55-85.44a331.25 331.25 0 0 0 81.25-102.07 32.35 32.35 0 0 0 0-29.19C550.29 135.59 442.93 64 320 64a308.15 308.15 0 0 0-147.32 37.7L45.46 3.37A16 16 0 0 0 23 6.18L3.37 31.45A16 16 0 0 0 6.18 53.9l588.36 454.73a16 16 0 0 0 22.46-2.81l19.64-25.27a16 16 0 0 0-2.82-22.45zm-183.72-142l-39.3-30.38A94.75 94.75 0 0 0 416 256a94.76 94.76 0 0 0-121.31-92.21A47.65 47.65 0 0 1 304 192a46.64 46.64 0 0 1-1.54 10l-73.61-56.89A142.31 142.31 0 0 1 320 112a143.92 143.92 0 0 1 144 144c0 21.63-5.29 41.79-13.9 60.11z">
                </path>
              </svg><!-- <i class="fa fa-eye-slash" aria-hidden="true"></i> -->
            </span>
          </div>
        </div>
      </div>
      <div class="col-xs-12 hidden" id="remainingAttemptParentDiv">
        <div class="form-group">
          <div class="col-xs-offset-4">
            <div class="col-xs-7 input-group input-group-md pull-left">
              <medium class="text-warning">Remaining attempts: <span id="remainingAttempt">5</span></medium>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="modal-footer met-footer">
    <div class="row form-group"></div>
    <div class="col-xs-12">
      <div class="col-xs-6 col-xs-offset-2">
        <input tabindex="1" type="submit" value="LOG IN" class="btn btn-md" disabled="">
      </div>
      <div class="col-xs-4 control-label">
        <a tabindex="2" href="https://healthforcalifornia.com/passwordRecovery" style="text-decoration: none">- can't log in?</a>
      </div>
    </div>
  </div>
</form>

POST https://healthforcalifornia.com/password/email

<form class="form-horizontal" role="form" method="POST" action="https://healthforcalifornia.com/password/email">
  <input type="hidden" name="_token" value="YCRSAM49sie2jq5SCNWgrexaIftaGtm1EyJuziJE">
  <div class="form-group">
    <label for="email" class="col-md-4 control-label">E-Mail Address</label>
    <div class="col-md-6">
      <input id="email" type="email" class="form-control" name="email" value="">
    </div>
  </div>
  <div class="form-group">
    <div class="col-md-6 col-md-offset-4">
      <button type="submit" class="btn btn-primary">
        <svg class="svg-inline--fa fa-envelope fa-w-16" aria-hidden="true" focusable="false" data-prefix="fa" data-icon="envelope" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512" data-fa-i2svg="">
          <path fill="currentColor"
            d="M502.3 190.8c3.9-3.1 9.7-.2 9.7 4.7V400c0 26.5-21.5 48-48 48H48c-26.5 0-48-21.5-48-48V195.6c0-5 5.7-7.8 9.7-4.7 22.4 17.4 52.1 39.5 154.1 113.6 21.1 15.4 56.7 47.8 92.2 47.6 35.7.3 72-32.8 92.3-47.6 102-74.1 131.6-96.3 154-113.7zM256 320c23.2.4 56.6-29.2 73.4-41.4 132.7-96.3 142.8-104.7 173.4-128.7 5.8-4.5 9.2-11.5 9.2-18.9v-19c0-26.5-21.5-48-48-48H48C21.5 64 0 85.5 0 112v19c0 7.4 3.4 14.3 9.2 18.9 30.6 23.9 40.7 32.4 173.4 128.7 16.8 12.2 50.2 41.8 73.4 41.4z">
          </path>
        </svg><!-- <i class="fa fa-btn fa-envelope"></i> --> Send Password Reset Link </button>
    </div>
  </div>
</form>

Text Content

Total Footage Processed to Date: 86,594 Hours


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