mvmcvirtualcare.com Open in urlscan Pro
67.222.104.218  Public Scan

Form analysis
1 forms found in the DOM

POST

<form class="user-registration-form user-registration-form-login login" method="post">
  <div class="ur-form-row">
    <div class="ur-form-grid">
      <p class="user-registration-form-row user-registration-form-row--wide form-row form-row-wide">
        <label for="username">EMAIL ADDRESS</label> <span class="input-wrapper">
          <input placeholder="" type="text" class="user-registration-Input user-registration-Input--text input-text" name="username" id="username" value="" style="">
        </span>
      </p>
      <p class="user-registration-form-row user-registration-form-row--wide form-row form-row-wide">
        <label for="password">Password <span class="required">*</span></label> <span class="input-wrapper">
          <span class="password-input-group">
            <input placeholder="" class="user-registration-Input user-registration-Input--text input-text" type="password" name="password" id="password" style="">
          </span>
        </span>
      </p>
      <p class="form-row">
        <input type="hidden" id="user-registration-login-nonce" name="user-registration-login-nonce" value="d573cd63b8"><input type="hidden" name="_wp_http_referer" value="/login/">
      </p>
      <div>
        <input type="submit" class="user-registration-Button button " name="login" value="Login">
      </div>
      <input type="hidden" name="redirect" value="">
      <label class="user-registration-form__label user-registration-form__label-for-checkbox inline">
        <input class="user-registration-form__input user-registration-form__input-checkbox" name="rememberme" type="checkbox" id="rememberme" value="forever"> <span>Remember Me</span>
      </label>
      <p></p>
      <p class="user-registration-LostPassword lost_password">
        <a href="https://mvmcvirtualcare.com/login/forgot-password/">Lost your password?</a>
      </p>
      <p class="user-registration-register register"> <a href="/register/"> Not a member yet? Register now. MVMC VirtualCare applies to patients with NON-EMERGENCY CONCERNS.									</a>
      </p>
    </div>
  </div>
</form>

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