mychart.piedmont.org Open in urlscan Pro
209.66.102.152  Public Scan

Form analysis
2 forms found in the DOM

POST #

<form autocomplete="off" method="post" action="#" id="loginForm" target="_top">
  <div class="formcontents"><input class="hidden" type="hidden" id="jsenabled" name="jsenabled" value="0" autocomplete="off">
    <div class="ghostInput compact ghosted"><label for="Login">MyChart Username</label><input data-permissive="true" class="jsreq" type="text" id="Login" name="Login" maxlength="128" autocomplete="off" aria-describedby="errorMessage"></div>
    <div class="ghostInput"><label for="Password">Password</label><input class="jsreq" type="password" id="Password" name="Password" autocomplete="off" aria-describedby="errorMessage"></div><input class="button tall jsreq completeworkflow"
      type="submit" name="submit" id="submit" value="Sign in" title="" autocomplete="off">
    <div class="recovery"><a href="/PRD/recoverlogin.asp">Forgot username?</a><a href="/PRD/passwordreset.asp">Forgot password?</a></div>
    <div id="invisibleCaptchaContainer" class="loginCaptcha"></div>
  </div>
</form>

POST /PRD/Authentication/Login/DoLogin

<form class="hidden" action="/PRD/Authentication/Login/DoLogin" autocomplete="off" id="actualLogin" method="post" target="_top"><input name="__RequestVerificationToken" type="hidden"
    value="9RqqxBYpC-da_mwggYlp-loqJ8aQ_TpSAZHdpuJFcM8pURpe9sDmpQduFaPv26qgdJC6Vy28ynMat1qIbMOtrdCZxm41" autocomplete="off">
  <div class="formcontents"><input class="" name="LoginInfo" id="LoginInfo" autocomplete="off"></div>
</form>

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