medvendor.com Open in urlscan Pro
51.81.245.140  Public Scan

Form analysis
1 forms found in the DOM

POST

<form method="post" id="loginForm">
  <h5 class="text-start mb-2">Signin to Your Account</h5>
  <p class="mb-4 text-muted tx-13 ms-0 text-start">Please provide your username and password.</p>
  <input type="hidden" data-val="true" data-val-required="The RememberMe field is required." id="Input_RememberMe" name="Input.RememberMe" value="False">
  <div class="form-group text-start mg-b-20">
    <label> Username: </label>
    <input class="form-control" id="txtLoginUserName" type="text" value="" data-val="true" data-val-required="The UserName field is required." name="Input.UserName">
  </div>
  <div class="form-group text-start mg-b-20">
    <label> Password: </label>
    <input class="form-control" id="txtPassword" type="password" value="" data-val="true" data-val-required="The Password field is required." name="Input.Password">
  </div>
  <div id="chbRememberMe"> Keep me logged in </div>
  <div class="form-group text-start mg-t-20">
    <button type="submit" class="buttonRipple invisible" id="btnLoginSubmit">Sign In</button>
  </div>
  <input name="__RequestVerificationToken" type="hidden" value="CfDJ8P-otIeptyxJuKqGhrPwfHA4o9ejcOXH9cJxpI9WidRPyOcLwCkwARYGEBkslcSVNFONynxrR9p-PMSocM8_VmaDDAGwL28oYLsxksqcq2baM905huBHDXBwNOMrsANJFge7sam6IR6zWq4ButOl4KM">
</form>

Text Content

Welcome to MedVendor - your real time medical information solution for anyone
seeking to secure auxiliary services for patients in need.
MedVendor streamlines the overwhelming amount of extended care services
available to patients and their medical professionals upon discharge from
medical facilities.
Stay informed for optimal outcomes.

SIGNIN TO YOUR ACCOUNT

Please provide your username and password.

Username:
Password:
Keep me logged in
Sign In
Forgot password?
Create Account?
Select account type
Account Type:

Next Close
Please provide customer information.
Customer Name:

Contact:

Phone:

Email:

Address Line 1:

Address Line 2:

City:

State:
Zip:

Notes:

Preferred logo size: 100px x 100px
Logo:

Select Industry Type:

Tiers

Service

Next Close
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