vitalityhcemr.md-hq.com
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209.208.62.141
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Submitted URL: https://vitalityhcemr.md-hq.com/
Effective URL: https://vitalityhcemr.md-hq.com/calendar.php
Submission: On May 05 via api from US — Scanned from DE
Effective URL: https://vitalityhcemr.md-hq.com/calendar.php
Submission: On May 05 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST /frames/submit_login.php
<form target="submit_frame" action="/frames/submit_login.php" enctype="multipart/form-data" method="post" class="login_form" style="padding:10px;">
<div class="creds"><img class="practice-logo" src="/images/structure/printable/logo.jpg"><img class="cerbo-logo" src="/images/login_cerbo.png"><label>Username</label><input type="text" name="username"><label
style="margin-top: 8px;">Password</label><input type="password" name="thepwd" id="login_thepwd">
<div class="user-terms-container"><label class="user-terms-label" style="display:block;;"><input type="checkbox" value="agree" name="TERMS" id="terms_read"> I agree to the
<a href="https://cer.bo/end-user-license-agreement/" target="_blank">Cerbo End User License Agreement</a> and <a href="https://cer.bo/privacy-notice-ehr/" target="_blank">Privacy Notice</a> <img src="/images/icons/pdf.png" alt="PDF"
align="absmiddle"></label> <span id="terms_why"> </span></div><br> <br><input class="button" type="submit" value="LOG IN" id="login_button"><br> <br>
</div>
<div style="color:#cc0000" id="login_response_div"></div><input type="hidden" name="submit_action" value="login_user"><input type="hidden" id="login_page_target" name="target_page" value="lM%2FK2KnguNrik9zR3A%3D%3D"><input type="hidden"
id="execute_js" name="execute_js" value=""><input type="hidden" name="rand_10229" value="11977">
<p class="terms"><a class="patient-portal-link" href="https://vitalityhcportal.md-hq.com" target="_blank">Go to Patient Portal</a></p>
<p class="supported-browsers">Supported Browsers: <a href="https://www.mozilla.com" title="Firefox" target="_blank"><img src="/images/icons/browser/firefox.png" alt="Firefox 3.5+" align="absmiddle"></a>
<a href="https://www.google.com/chrome" title="Chrome" target="_blank"><img src="/images/icons/browser/chrome.png" alt="Chrome 6+" align="absmiddle"></a>
<a href="https://www.apple.com/safari/download/" title="Safari" target="_blank"><img src="/images/icons/browser/safari.png" alt="Safari 4+" align="absmiddle"></a></p>
</form>Text Content
PLEASE LOG IN... UsernamePassword I agree to the Cerbo End User License Agreement and Privacy Notice Go to Patient Portal Supported Browsers: TIPS AND UPDATES