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pp-wfe-102.advancedmd.com Open in urlscan Pro
65.9.66.106  Public Scan

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Submitted URL: https://u14209785.ct.sendgrid.net/ls/click?upn=04NuZSDPheurbW6hGPep4vm776wtBAT3elCydOaHXX-2BlhgZCitDbbRO0GC2m6LZDNh7kpb-2BiNfX5FLH...
Effective URL: https://pp-wfe-102.advancedmd.com/patientforms/index?lk=150188
Submission: On October 17 via manual from IN — Scanned from DE

Form analysis 1 forms found in the DOM

<form _ngcontent-yfv-c316="" novalidate="" type="POST" class="ng-untouched ng-pristine ng-invalid">
  <div _ngcontent-yfv-c316="" id="portal-login-form" class="form-group">
    <div _ngcontent-yfv-c316="" class="input-group"><input _ngcontent-yfv-c316="" type="email" formcontrolname="username" placeholder="Email" aria-required="true" title="email" email=""
        class="form-control translucent round italic-placeholder ng-untouched ng-pristine ng-invalid"><!----></div>
    <div _ngcontent-yfv-c316="" class="input-group"><input _ngcontent-yfv-c316="" type="password" formcontrolname="password" placeholder="Password" aria-required="true" title="password"
        class="form-control translucent round italic-placeholder ng-untouched ng-pristine ng-invalid"><!----></div>
    <div _ngcontent-yfv-c316="" class="input-group"><label _ngcontent-yfv-c316="" class="control-label hidden-xs"></label><button _ngcontent-yfv-c316="" type="submit" class="btn round btn-success shadow">Sign In</button><label _ngcontent-yfv-c316=""
        class="caption"><a _ngcontent-yfv-c316="" href="/150188/account/forgotpassword">Forgot Password</a></label></div>
    <div _ngcontent-yfv-c316="" class="input-group"><label _ngcontent-yfv-c316="" class="control-label linethrough"><span _ngcontent-yfv-c316="">Don't have an account?</span></label><button _ngcontent-yfv-c316="" type="submit"
        class="btn round btn-primary shadow" tabindex="0">Register</button></div><!---->
  </div>
</form>

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