carerecords.online Open in urlscan Pro
165.227.231.91  Public Scan

Form analysis
1 forms found in the DOM

POST https://carerecords.online/login

<form method="POST" action="https://carerecords.online/login">
  <input type="hidden" name="_token" value="dU1yu3WaWMj6xYKXx0pcbGFVrNnB6NeqjbZXoyNo">
  <div class="form-group row mb-3">
    <label for="email" class="col-md-12 col-form-label">E-Mail Address</label>
    <div class="col-12">
      <input id="email" type="email" class="form-control " name="email" value="" required="" autocomplete="email" autofocus="">
    </div>
  </div>
  <div class="form-group row mb-3">
    <label for="password" class="col-12 col-form-label">Password</label>
    <div class="col-12">
      <input id="password" type="password" class="form-control " name="password" required="" autocomplete="current-password">
    </div>
  </div>
  <div class="form-group row mb-3">
    <div class="col-12">
      <div class="form-check">
        <input class="form-check-input" type="checkbox" name="remember" id="remember">
        <label class="form-check-label" for="remember"> Remember Me </label>
      </div>
    </div>
  </div>
  <div class="form-group row mb-0">
    <div class="col-12">
      <button type="submit" class="btn btn-primary"> Login </button>
      <a class="btn btn-secondary" href="https://carerecords.online/password/reset">
                                        Forgot Your Password?
                                    </a>
    </div>
  </div>
</form>

Text Content

Care Records Online
   
 * Login

Sign In
E-Mail Address

Password

Remember Me
Login Forgot Your Password?