mfa.preventice.com Open in urlscan Pro
4.16.115.106  Public Scan

Submitted URL: https://secure.preventice.com/Patients/Patient.aspx?p=5635309
Effective URL: https://mfa.preventice.com/User?id=WBgv2Ky26oqsN5vrDh0yQE%2fkUdDaZo6ltADvWQDQcLkMoSHir29zO8Ybl5tgd4RLE8V1lxs7l8DF7FAapOCpVh...
Submission: On December 18 via manual from US — Scanned from DE

Form analysis 2 forms found in the DOM

POST /User/Login

<form action="/User/Login" id="LoginForm" method="post"><input name="__RequestVerificationToken" type="hidden" value="nqucajpDmHYloPZY-K2hxfxCaiBV2ucT4f3FR-5RB9K-OFKqv7rXgIYMfMVpT-iwXEzs5v7O7gioUjOwB8i6eGIvUbE1">
  <div class="modal" role="dialog" style="display: block; top: 200px;">
    <div class="modal-dialog" role="document" style="width: 650px;">
      <div class="modal-content">
        <div class="modal-header">
          <h4 class="modal-title">Login</h4>
        </div>
        <div class="modal-body">
          <div class="form-horizontal">
            <div class="form-group">
              <div class="col-sm-9 nopadding-lr">
                <label class="control-label col-md-3" for="Username" style="padding-right:0;">User name:</label>
                <div class="col-sm-9">
                  <input class="form-control text-box single-line" id="usernameTB" name="Username" pattern=".{1,}" type="text" value="">
                </div>
              </div>
            </div>
            <div class="form-group">
              <div class="col-sm-9 nopadding-lr">
                <label class="control-label col-md-3" for="Password" style="padding-right:0;">Password:</label>
                <div class="col-sm-9">
                  <input class="form-control text-box single-line" id="passwordTB" name="Password" pattern=".{1,}" type="password" value="">
                </div>
              </div>
              <div class="col-sm-3 nopadding-lr" style="padding-top: 5px">
                <a href="/User/ForgotPassword">Forgot password?</a>
              </div>
            </div>
          </div>
        </div>
        <div class="modal-footer">
          <input type="submit" value="Log In" class="btn btn-primary grow pull-left" id="submitBT">
        </div>
      </div>
    </div>
  </div>
</form>

POST /User/Cancel

<form action="/User/Cancel" id="CancelAction" method="post"></form>

Text Content

LOGIN

User name:

Password:

Forgot password?