update-patient-note-pr.dev.aip.ninja
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64.225.94.61
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URL:
https://update-patient-note-pr.dev.aip.ninja/
Submission: On August 29 via automatic, source certstream-suspicious — Scanned from DE
Submission: On August 29 via automatic, source certstream-suspicious — Scanned from DE
Form analysis
1 forms found in the DOM<form>
<div></div>
<div class="mobile-form-title">Log in to your account</div>
<div class="form-group"><label for="email">Email</label><input name="email" type="email" placeholder="Type your email" value=""></div>
<div class="form-group"><label for="password">Password</label>
<div class="password-entry"><input name="password" type="password" minlength="8" placeholder="Type your password" autocomplete="" value="">
<div class="visibility-btn"><svg stroke="currentColor" fill="currentColor" stroke-width="0" viewBox="0 0 24 24" height="1em" width="1em" xmlns="http://www.w3.org/2000/svg">
<path fill="none" d="M0 0h24v24H0z"></path>
<path d="M12 4.5C7 4.5 2.73 7.61 1 12c1.73 4.39 6 7.5 11 7.5s9.27-3.11 11-7.5c-1.73-4.39-6-7.5-11-7.5zM12 17c-2.76 0-5-2.24-5-5s2.24-5 5-5 5 2.24 5 5-2.24 5-5 5zm0-8c-1.66 0-3 1.34-3 3s1.34 3 3 3 3-1.34 3-3-1.34-3-3-3z"></path>
</svg></div>
</div>
</div>
<p class="sign-in-form__forgot-password-link"><span>Forgot your password? </span><a href="#">Reset Your Password</a></p><button class="sign-in-button" type="submit" disabled=""><span class="button__content">Log in</span></button>
</form>
Text Content
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