disnola.abbadox.com Open in urlscan Pro
209.94.77.25  Public Scan

Form analysis
1 forms found in the DOM

Name: LoginForm —

<form _ngcontent-kfl-c1="" name="LoginForm" novalidate="" class="ng-untouched ng-pristine ng-invalid">
  <div _ngcontent-kfl-c1="" class="form-group d-block mt-3">
    <div _ngcontent-kfl-c1="" class="d-flex">
      <p _ngcontent-kfl-c1="" class="m-0">User ID (Email)</p>
    </div>
    <div _ngcontent-kfl-c1=""><input _ngcontent-kfl-c1="" class="form-input boder-input w-100 ng-untouched ng-pristine ng-invalid" formcontrolname="username" id="username" name="username" type="text" placeholder="Enter username"><!----></div>
  </div>
  <div _ngcontent-kfl-c1="" class="form-group d-block">
    <div _ngcontent-kfl-c1="" class="d-flex">
      <p _ngcontent-kfl-c1="" class="m-0">Password</p>
    </div>
    <div _ngcontent-kfl-c1="" class="c"><input _ngcontent-kfl-c1="" class="form-input boder-input w-100 ng-untouched ng-pristine ng-invalid" formcontrolname="password" id="password" name="password" type="password" placeholder="Enter Password"><!---->
    </div>
  </div>
  <div _ngcontent-kfl-c1="" class="form-group"><!---->
    <div _ngcontent-kfl-c1="">
      <div _ngcontent-kfl-c1="" class="d-flex w-100"><button _ngcontent-kfl-c1="" class="btn btn-primary button-login w-100" disabled=""> Log In </button></div>
    </div><!---->
  </div>
  <div _ngcontent-kfl-c1="" class="d-flex justify-content-center"><!----><!----><!----></div><!---->
  <div _ngcontent-kfl-c1="" class="d-flex justify-content-between mt-3"><a _ngcontent-kfl-c1="" class="color-blue">Forgot Password?</a><!----><a _ngcontent-kfl-c1="" class="color-blue">Forgot User ID?</a></div>
</form>

Text Content

PATIENT PORTAL LOGIN

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

User ID (Email)



Password


Log In

Forgot Password?Forgot User ID?