myfeedback.myfortishealthcare.com Open in urlscan Pro
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Form analysis
1 forms found in the DOM

POST /workflow/login

<form action="/workflow/login" method="post" id="login-form">
  <section>
    <label>Username</label>
    <div class="form-group">
      <input id="username" type="text" name="username" class="form-style" placeholder="Username or EmployeeID" required="" autofocus="">
      <i class="input-icon">
								<svg width="25px" height="25px" viewBox="0 0 24 24" fill="none" xmlns="http://www.w3.org/2000/svg">
									<g id="SVGRepo_bgCarrier" stroke-width="0"></g>
									<g id="SVGRepo_tracerCarrier" stroke-linecap="round" stroke-linejoin="round"></g>
									<g id="SVGRepo_iconCarrier">
										<path d="M9 16H15M9 18H12M13.5 7.5C13.5 8.32843 12.8284 9 12 9C11.1716 9 10.5 8.32843 10.5 7.5C10.5 6.67157 11.1716 6 12 6C12.8284 6 13.5 6.67157 13.5 7.5ZM10.6588 11H13.3412C13.5824 11 13.7031 11 13.811 11.0154C14.1844 11.0685 14.5074 11.2554 14.6883 11.523C14.7405 11.6003 14.7787 11.6922 14.855 11.8759C14.9467 12.0967 14.9925 12.2071 14.9987 12.2961C15.0206 12.6103 14.7659 12.8939 14.3878 12.9766C14.2806 13 14.1357 13 13.8458 13H10.1542C9.86432 13 9.71937 13 9.61221 12.9766C9.23409 12.8939 8.97944 12.6103 9.00131 12.2961C9.0075 12.2071 9.05334 12.0967 9.14502 11.8759C9.22131 11.6922 9.25945 11.6003 9.31173 11.523C9.49265 11.2554 9.81558 11.0685 10.189 11.0154C10.2969 11 10.4176 11 10.6588 11ZM8 20H16C16.9428 20 17.4142 20 17.7071 19.7071C18 19.4142 18 18.9428 18 18V6C18 5.05719 18 4.58579 17.7071 4.29289C17.4142 4 16.9428 4 16 4H8C7.05719 4 6.58579 4 6.29289 4.29289C6 4.58579 6 5.05719 6 6V18C6 18.9428 6 19.4142 6.29289 19.7071C6.58579 20 7.05719 20 8 20Z" stroke="#1c1c1c" stroke-linecap="round" stroke-linejoin="round"></path>
									</g>
								</svg>
							</i>
    </div>
    <label>Password/OTP</label>
    <div class="form-group">
      <input id="password" type="password" name="password" class="form-style" placeholder="Password or OTP" required="">
      <i title="Show Password" id="password-icon" class="input-icon">
								<svg fill="#1c1c1c" width="25px" height="20px" viewBox="-14.25 0 122.88 122.88" version="1.1" id="Layer_1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" enable-background="new 0 0 94.38 122.88" xml:space="preserve">
									<g id="SVGRepo_bgCarrier" stroke-width="0"></g>
									<g id="SVGRepo_tracerCarrier" stroke-linecap="round" stroke-linejoin="round"></g>
									<g id="SVGRepo_iconCarrier">
										<g>
											<path stroke="#1c1c1c" d="M8.723,45.706h2.894v-8.729c0-10.139,3.987-19.368,10.412-26.069C28.479,4.177,37.386,0,47.19,0 c9.805,0,18.711,4.177,25.163,10.907c6.424,6.701,10.411,15.931,10.411,26.069v8.729h2.894c2.401,0,4.583,0.98,6.162,2.56 s2.56,3.761,2.56,6.162v59.73c0,2.401-0.98,4.583-2.56,6.162s-3.761,2.56-6.162,2.56H8.723c-2.402,0-4.583-0.98-6.163-2.56 S0,116.56,0,114.158v-59.73c0-2.401,0.981-4.583,2.56-6.162C4.14,46.687,6.321,45.706,8.723,45.706L8.723,45.706z M44,87.301 L39.81,98.28h14.762l-3.884-11.13c2.465-1.27,4.15-3.84,4.15-6.803c0-4.223-3.425-7.647-7.647-7.647 c-4.223,0-7.648,3.425-7.648,7.647C39.542,83.432,41.369,86.091,44,87.301L44,87.301z M17.753,45.706h58.875v-8.729 c0-8.511-3.326-16.236-8.686-21.826C62.61,9.589,55.265,6.137,47.19,6.137S31.77,9.589,26.438,15.15 c-5.359,5.59-8.686,13.315-8.686,21.826V45.706L17.753,45.706z M85.658,51.843H8.723c-0.708,0-1.353,0.292-1.823,0.762 c-0.47,0.47-0.762,1.116-0.762,1.823v59.73c0,0.707,0.292,1.353,0.762,1.822c0.47,0.471,1.116,0.762,1.823,0.762h76.936 c0.708,0,1.354-0.291,1.823-0.762c0.47-0.47,0.762-1.115,0.762-1.822v-59.73c0-0.707-0.292-1.353-0.762-1.823 C87.011,52.135,86.366,51.843,85.658,51.843L85.658,51.843z">
											</path>
										</g>
									</g>
								</svg>
							</i>
    </div>
  </section>
  <p>
    <input id="login" type="submit" value="Login" class="submit">
    <input id="send-otp" type="button" value="Send OTP" class="submit">
  </p>
  <div class="other_options">
    <span class="left"></span>
    <i>Or</i>
    <span></span>
  </div>
  <div class="socials">
    <a title="Login with Active Directory" href="/workflow/oauth2/authorization/active-directory">
							<img width="20px" src="/workflow/img/microsoft-6b2281a7a04308deca7c66c25d239c0f.png">
						</a>
  </div>
</form>

Text Content

Username

Password/OTP




Or

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