circleemr.viewdns.net Open in urlscan Pro
24.246.134.238  Public Scan

Form analysis
1 forms found in the DOM

Name: login_form — POST ../main/main_screen.php?auth=login&site=default

<form method="POST" id="login_form" autocomplete="off" action="../main/main_screen.php?auth=login&amp;site=default" target="_top" name="login_form">
  <input type="hidden" name="new_login_session_management" value="1">
  <input type="hidden" name="languageChoice" value="">
  <div id="standard-auth-username" class="form-group row">
    <label for="authUser" class=" col-form-label col-sm-4">Username</label>
    <div class="col">
      <input type="text" class="form-control" id="authUser" name="authUser" placeholder="Username">
    </div>
  </div>
  <div id="standard-auth-password" class="form-group row">
    <label for="clearPass" class=" col-form-label col-sm-4">Password</label>
    <div class="col">
      <input type="password" class="form-control" id="clearPass" name="clearPass" placeholder="Password">
    </div>
  </div>
  <div class="form-group d-flex justify-content-between">
    <button id="login-button" class="btn btn-primary flex-fill" type="submit" onclick="transmit_form(this)">Login</button>
  </div>
</form>

Text Content

Circle - Full Circle custom EMR built on the most popular open-source EMR
solution.

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