patient.contacta.health Open in urlscan Pro
72.167.77.8  Public Scan

Form analysis
1 forms found in the DOM

POST https://patient.contacta.health/login

<form method="POST" action="https://patient.contacta.health/login">
  <input type="hidden" name="_token" value="cZDC8tF8DhtGtQsCBlmgTPemYBNgrowBQBCuomyX">
  <div class="col-12">
    <div class="mb-4">
      <label class="fw-bold" for="user1">Correo</label>
      <div class="input">
        <i class="fa-solid fa-user incon_input"></i>
        <input type="text" class="login_form " name="email" id="user" aria-describedby="helpId1" placeholder="Escribe un nombre de usuario" value="" autofocus="" required="">
      </div>
    </div>
  </div>
  <div class="col-12">
    <div class="mb-5">
      <label class="fw-bold">Contraseña</label>
      <div class="input">
        <i class="fa-solid fa-lock incon_input"></i>
        <input type="password" class="login_form" name="password" id="password" aria-describedby="helpId" placeholder="Escribe tu contraseña" required="">
        <button id="mostrar_contra" type="button" class="btn-hide" onclick="mostrar()">
          <i id="ver" class="fa-regular fa-eye p-2"></i>
          <i style="display: none" id="ocultar" class="fa-regular fa-eye-slash p-2"></i>
        </button>
      </div>
    </div>
  </div>
  <div class="col-12">
    <div class="d-grid gap-2 shadow-sm mb-2">
      <button type="submit" name="" id="" class="btn-custom blue">Ingresar</button>
    </div>
  </div>
</form>

Text Content

INGRESO TITULAR

Correo

Contraseña

Ingresar

Has olvidado tu contraseña?

No estas registrado?

Registrarse