provider.lp-integration.qa.teladoc.io Open in urlscan Pro
107.22.243.185  Public Scan

Form analysis
1 forms found in the DOM

POST /signin

<form action="/signin" accept-charset="UTF-8" method="post"><input type="hidden" name="authenticity_token" value="xTUVu3qJ3aqw2C5B22W_aFXA0XUORzoJ6P9DGMfmoCpfOCtFuvJNrTp2ZAt2Y6egX5uH8IHnzSq09u6BA8ghtA" autocomplete="off">
  <div class="error">Please enter a username and password</div>
  <ul id="login_fields">
    <li><label for="login_username">Username</label><input type="text" name="login[username]" id="login_username"></li>
    <li><label for="login_password">Password</label><input autocomplete="off" type="password" name="login[password]" id="login_password"></li>
  </ul><input type="submit" name="commit" value="Login"><a href="/forgot_password">Forgot Password</a>
</form>

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