secure.myeyecarerecords.com Open in urlscan Pro
20.119.16.25  Public Scan

Form analysis
1 forms found in the DOM

POST /

<form action="/" method="post" novalidate="novalidate">
  <div class="form-group">
    <label for="Username">User Name (Email)</label>
    <input autocomplete="off" class="form-control" data-val="true" data-val-length="The field User Name (Email) must be a string with a maximum length of 50." data-val-length-max="50" data-val-required="The User Name (Email) field is required."
      id="Username" name="Username" type="text" value="">
    <span class="field-validation-valid" data-valmsg-for="Username" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group">
    <label for="Password">Password</label>
    <input class="form-control" data-val="true" data-val-length="The field Password must be a string with a maximum length of 20." data-val-length-max="20" data-val-required="The Password field is required." id="Password" name="Password"
      type="password">
    <span class="field-validation-valid" data-valmsg-for="Password" data-valmsg-replace="true"></span>
  </div>
  <div class="form-group">
    <button type="submit" class="btn btn-primary">Login</button>
    <a href="/forgot-password" class="btn btn-default">Forgot User Name/Password?</a>
  </div>
</form>

Text Content

 * Login
 * Register




FIRST TIME USERS

Register


REGISTERED USERS

Login
User Name (Email)
Password
Login Forgot User Name/Password?
© 2023 MyEyeCareRecords.com