hiswf.myfortishealthcare.com Open in urlscan Pro
20.198.98.11  Public Scan

Form analysis
1 forms found in the DOM

POST /Home/Login

<form action="/Home/Login" method="post">
  <div class="content mt-3">
    <div class="animated fadeIn">
      <div class="row d-flex justify-content-center" style="padding-top:10%">
        <div class="col-md-5 shadow-lg">
          <div class="clearfix" style="height:4%"></div>
          <div class="card">
            <div class="card-header">
              <div class="col-sm-6">
                <strong>LOGIN</strong>
              </div>
              <div class="col-sm-6">
                <img src="/UIScripts/images/Fortis_logo_1.png" alt="" class="pull-right" style="max-height:20px">
              </div>
            </div>
            <div class="card-body card-block">
              <div class="form-group">
                <label for="nf-email" class="form-control-label">Email</label>
                <input autocomplete="off" class="form-control" data-val="true" data-val-required="User Name is required." id="User" name="User" placeholder="Username" required="required" type="email" value="">
                <span class="field-validation-valid" data-valmsg-for="User" data-valmsg-replace="true" style="color:red;"></span>
              </div>
              <div class="form-group">
                <label for="nf-password" class="form-control-label">Password</label>
                <input autocomplete="new-password" class="form-control" data-val="true" data-val-required="Password is required." id="Password" name="Password" placeholder="Password" required="required" type="password">
                <span class="field-validation-valid" data-valmsg-for="Password" data-valmsg-replace="true" style="color:red;"></span>
              </div>
            </div>
            <div class="card-footer">
              <button type="submit" class="btn btn-primary btn-sm" id="btn_login" onclick="return btncheck();">
                <i class="fa fa-dot-circle-o"></i> Login </button>
              <button type="reset" class="btn btn-danger btn-sm" onclick="ResetLoginForm()">
                <i class="fa fa-ban"></i> Reset </button>
            </div>
          </div>
          <input id="hdn_ModelResponse" name="ModelResponse" type="hidden" value="">
          <input id="hdn_LockConfirmationMessage" name="LockConfirmationMessage" type="hidden" value="">
        </div>
      </div>
    </div>
  </div>
</form>

Text Content

LOGIN

Email
Password
Login Reset