cloudscript.online Open in urlscan Pro
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Form analysis
2 forms found in the DOM

POST

<form class="row form d-flex bannerForm no-gutters mb-0" method="post">
  <input type="hidden" name="csrfmiddlewaretoken" value="WebHCSLjYLJmMQXLx0PFddBw1kYMuEH4sJnxfTiXFRwJkUpl8Q2KAQrWwaYNlQ3Y">
  <div class="form-group col-md-5 mb-2 mb-md-0">
    <input class="form-control ui-autocomplete-input" id="search_input" placeholder="Provider Name, Clinic, Service, ..." autocomplete="off">
    <span class="autocomplete-text">General Medicine</span>
  </div>
  <div class="form-group col-md-4 mb-2 mb-md-0">
    <input class="form-control pac-target-input" id="autocomplete" placeholder="Location" autocomplete="off">
  </div>
  <div class="col-md-3 mb-md-0">
    <button class="btn btn-primary" type="submit" id="search_btn">Search</button>
  </div>
</form>

POST /account/select_timezone/?next=/

<form method="POST" action="/account/select_timezone/?next=/">
  <div class="modal-body">
    <input type="hidden" name="csrfmiddlewaretoken" value="WebHCSLjYLJmMQXLx0PFddBw1kYMuEH4sJnxfTiXFRwJkUpl8Q2KAQrWwaYNlQ3Y">
    <div id="div_id_timezone" class="form-group"> <label for="id_timezone" class=" requiredField"> Timezone<span class="asteriskField">*</span> </label>
      <div class=""> <select name="timezone" class="select form-control" id="id_timezone">
          <option value="Europe/London">London</option>
          <option value="Europe/Paris">France</option>
          <option value="Asia/Dubai">Dubai</option>
          <option value="Indian/Mauritius">Mauritius</option>
          <option value="Africa/Lusaka">Zambia</option>
          <option value="Africa/Harare">Zimbabwe</option>
          <option value="Africa/Kigali">Rwanda</option>
          <option value="Africa/Nairobi">Kenya</option>
          <option value="Africa/Dar_es_Salaam">Tanzania</option>
          <option value="Africa/Kampala">Uganda</option>
          <option value="Africa/Johannesburg">South Africa</option>
          <option value="Africa/Kinshasa">Democratic Republic of the Congo</option>
          <option value="Australia/Perth">Australian Western Standard Time </option>
          <option value="Australia/Eucla">Australian Central Western Standard Time</option>
          <option value="Australia/Darwin">Australian Central Standard Time</option>
          <option value="Australia/Brisbane">Australian Eastern Standard Time</option>
          <option value="Australia/Adelaide">Australian Central Daylight Time</option>
          <option value="Australia/Sydney">Australian Eastern Daylight Time</option>
          <option value="Australia/Lord_Howe">Australian Lord Howe Daylight Time</option>
        </select> </div>
    </div>
  </div>
  <div class="modal-footer">
    <button type="button" class="btn btn-secondary" data-dismiss="modal">Close</button>
    <button type="submit" class="btn btn-primary">Submit</button>
  </div>
</form>

Text Content

 * Change Timezone
 * Home Page
 * Sign Up
   * Patient
   * Provider
   * Facility
 * Login


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POWERING SMART HEALTHCARE EXPERIENCE

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PLEASE SELECT A TIMEZONE

×
Timezone*
London France Dubai Mauritius Zambia Zimbabwe Rwanda Kenya Tanzania Uganda South
Africa Democratic Republic of the Congo Australian Western Standard Time
Australian Central Western Standard Time Australian Central Standard Time
Australian Eastern Standard Time Australian Central Daylight Time Australian
Eastern Daylight Time Australian Lord Howe Daylight Time
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