login.drdoctor.co.uk Open in urlscan Pro
20.108.244.236  Public Scan

Form analysis
1 forms found in the DOM

POST /Account/Login

<form role="form" method="post" class="drdr-form drdr-form-login-initial" autocomplete="off" action="/Account/Login">
  <input type="hidden" name="ReturnUrl"
    value="/connect/authorize/callback?client_id=patient-portal&amp;redirect_uri=https%3A%2F%2Fmy.drdoctor.co.uk%2Foidc&amp;response_type=code&amp;scope=openid%20email%20patient_identification%20nhs_login_patient_identification&amp;code_challenge=AnHkCdnuz3SzK2NQsmHH78eTlc1S0ZTEKGkd7bP42L0&amp;code_challenge_method=S256&amp;state=OpenIdConnect.AuthenticationProperties%3DNxR18wnj9EkKCt91CpnHP9tUxZmS3AnTsNaEqBhRtAElARSL9BTE6dBYok-KZT-UecqORlfH1pKnhEYL2Qy3bY95Rf2RbHUS7urlqnr5G0OmGBKo_yNIUDa1rrKNVZhGijgTHYP-bjAZwrzlrPRVQ5cEoYunrAkqmo1paKev6wSYCPGPjGk7VAW7rXEqFmi4yZhdg6xEGs_4GMJuifcn3oEe8XfgEUkwfhBSLR4RAqiWKJw3CmgHuCaRATbL-0_PU_LVbvyhcRY9t0mCueZ1t4Ntm5FMIegsUI3wplmFULk&amp;nonce=638416848514613374.YmIxM2Y3N2ItMzk2NC00MjQ2LThlNjUtNGU3M2NmMDkxNTE5MTIxYWI4ODYtMWQwMS00MzgxLWE2NzctMTU2NjkwYWRmNThl&amp;application_type=DrDoctor&amp;x-client-SKU=ID_NET461&amp;x-client-ver=6.5.0.0">
  <input type="hidden" name="ClientBranding" value="DrDoctor">
  <input type="hidden" name="ProviderId" value="-1">
  <input type="hidden" name="ChangeProvider" value="false">
  <p class="login__instruction">Please enter your details to confirm who you are.</p>
  <p class="drdr-form-control">
    <label for="LastName">Last name</label>
    <input id="LastName" name="LastName" class="-block" type="text" value="" required="">
  </p>
  <fieldset class="dob-input-fieldset" aria-describedby="dob-input-eg dob-input-error" role="group">
    <legend> Date of birth <span id="dob-input-eg" class="dob-input-eg">(for example, 15 3 1984)</span>
    </legend>
    <div class="dob-input-parts-wrapper">
      <div class="dob-input-parts flex">
        <div class="dob-input-wrapper ">
          <label for="dob-day">Day</label>
          <input class="dob-input dob-input-width-2" id="dob-day" name="Day" value="" type="text" inputmode="numeric" pattern="[0-9]{1,2}" min="1" max="31" required="">
        </div>
        <div class="dob-input-wrapper  ">
          <label for="dob-month">Month</label>
          <input class="dob-input dob-input-width-2" id="dob-month" name="Month" value="" type="text" inputmode="numeric" pattern="[0-9]{1,2}" min="1" max="12" required="">
        </div>
        <div class="dob-input-wrapper  dob-input-wrapper-year">
          <label for="dob-year">Year</label>
          <input class="dob-input dob-input-width-4" id="dob-year" name="Year" value="" type="text" inputmode="numeric" pattern="[0-9]{4}" min="1900" max="2024" required="">
        </div>
      </div>
    </div>
  </fieldset>
  <p class="drdr-form-control">
    <label for="Postcode">Postcode</label>
    <input id="Postcode" name="Postcode" class="-block" type="text" value="" required="">
  </p>
  <button type="submit" value="submit" name="submit" class="button -secondary -block h-text-last ">Continue</button>
  <input name="__RequestVerificationToken" type="hidden" value="CfDJ8M8e3iD_UahAlzlgXSMI5Iibr9jGFCur8ZVlD56jXP3HIfWF5jN80aH491mXbu8M1iilsF53RrpkMezq71klcQE653dLdZ8B9jvFp8MlhClDtL7w38Llcdrs10U3h8JV-q0rEeClY_Ioa2UV42BU1Qo">
</form>

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Day
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