mediassist-help.freshdesk.com Open in urlscan Pro
35.154.217.94  Public Scan

Form analysis
2 forms found in the DOM

POST /support/login

<form novalidate="novalidate" class="new_user_session" id="new_user_session" action="/support/login" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓"><input type="hidden" name="authenticity_token"
    value="GaY71yaT9gLSt0DqNAtVU1FzmyNLGjrOJypOCcLWDB8=">
  <h1>Log in to support portal</h1>
  <p>Are you a new user? <b> <a href="/support/signup">Sign up with us</a></b></p>
  <div class="form-group ">
    <label for="emailInput" class=" form-label"> Your e-mail address <span class="fw-asterisk">*</span>
    </label>
    <input type="email" class="form-control " id="emailInput" placeholder="Your e-mail address" name="user_session[email]" required="" aria_describedby="emailInput">
    <div class="invalid-feedback emailInput"></div>
  </div>
  <div class="form-group ">
    <label for="passwordInput" class=" form-label"> Password <span class="fw-asterisk">*</span>
    </label>
    <input type="password" class="form-control " id="passwordInput" placeholder="Password" name="user_session[password]" required="" aria_describedby="passwordInput">
    <div class="invalid-feedback passwordInput"></div>
  </div>
  <div class="form-check ">
    <input name="user_session[remember_me]" type="hidden" value="false">
    <input type="checkbox" class="form-check-input " id="rememberInput" name="user_session[remember_me]" value="1" checked="true" aria_describedby="rememberInput">
    <label for="rememberInput" class="form-check-label "> Remember me on this computer </label>
    <div class="invalid-feedback rememberInput"></div>
  </div>
  <button type="submit" class="btn fw-primary-button btn-block w-100 login-button" data-recaptcha-enterprise=""> Login </button>
</form>

POST /password_resets

<form novalidate="novalidate" id="password_reset" action="/password_resets" accept-charset="UTF-8" method="post"><input name="utf8" type="hidden" value="✓"><input type="hidden" name="authenticity_token"
    value="GaY71yaT9gLSt0DqNAtVU1FzmyNLGjrOJypOCcLWDB8=">
  <h1>Forgot password</h1>
  <p>Give us your email address and instructions to reset your password will be emailed to you.</p>
  <div class="form-group ">
    <label for="email" class=" form-label"> Your e-mail address <span class="fw-asterisk">*</span>
    </label>
    <input type="email" class="form-control " id="email" placeholder="Your e-mail address" name="email" required="">
    <div class="invalid-feedback email"></div>
  </div>
  <button type="submit" class="btn fw-primary-button btn-block password-forgot-button"> Reset my password </button>
  <button type="button" class="btn fw-secondary-button btn-block" id="loginFormLink"> Cancel </button>
</form>

Text Content

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Medi Assist
 * Home
 * 

 * Login
 * Sign up
 * 


You must be logged in to access this page


LOG IN TO SUPPORT PORTAL

Are you a new user? Sign up with us

Your e-mail address *

Password *

Remember me on this computer

Login
...or login using

--------------------------------------------------------------------------------

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Forgot your password?

Are you an agent? Login here


FORGOT PASSWORD

Give us your email address and instructions to reset your password will be
emailed to you.

Your e-mail address *

Reset my password Cancel
...or login using

--------------------------------------------------------------------------------

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