www.healthtracker.com Open in urlscan Pro
104.17.239.18  Public Scan

Form analysis
1 forms found in the DOM

Name: loginForm — POST ./

<form name="loginForm" method="post" action="./" onkeypress="javascript:return WebForm_FireDefaultButton(event, 'BtnClick')" id="loginForm">
  <div>
    <input type="hidden" name="__LASTFOCUS" id="__LASTFOCUS" value="">
    <input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value="">
    <input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value="">
    <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" value="/wEPDwUKLTM4OTcyNjk1NWRkCvZ8XHaP+EWwnDp6t/rpjFV8xEA=">
  </div>
  <script type="text/javascript">
    //<![CDATA[
    var theForm = document.forms['loginForm'];
    if (!theForm) {
      theForm = document.loginForm;
    }

    function __doPostBack(eventTarget, eventArgument) {
      if (!theForm.onsubmit || (theForm.onsubmit() != false)) {
        theForm.__EVENTTARGET.value = eventTarget;
        theForm.__EVENTARGUMENT.value = eventArgument;
        theForm.submit();
      }
    }
    //]]>
  </script>
  <script src="/WebResource.axd?d=uQVUd5Kx8I-pIYDGYW9xQ9Af-XsjyiQ_SRjhuUeews9kUAmGYWJ8oX3qARxd872MHr4gAqlyZUpA_GUUYd2XdsSxm341&amp;t=638285935360000000" type="text/javascript"></script>
  <script src="/WebResource.axd?d=vyQkrLuutUOHHdY4TBEGoIauQ-79BLEII6Pj_lqhg6gSlQHB_eFVWwlaKyoFy0Rq1T6rWaGNJ7M88K9Exz-9O5RnnrQ1&amp;t=638285935360000000" type="text/javascript"></script>
  <div>
    <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="90059987">
    <input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION" value="/wEdAAZaI/VUy3t9yo6VIIRkXepaKhoCyVdJtLIis5AgYZ/RYe4sciJO3Hoc68xTFtZGQEhLf2T2sabfS7lBklASgQlgsRTsLjm/58NYPHMYfphu5QRJuYsrEdQnOz0LdJHena6gbhu7wf8pwxa31qMsNiyAL6aaKg==">
  </div>
  <div id="min-wrapper">
    <img src="/style/images/harris_caretracker_logo_healthtracker.png" class="float-right margin-bottom-lg" alt="Patient Portal">
    <div id="min-container" class="clear-floats">
      <h1>Welcome to the Patient Portal</h1>
      <p> If you are already a member, please sign in. If you are not a member, please register. </p>
      <h2 class="padding-top-lg">
        <img src="/style/images/trans.gif" alt="Sign In icon" class="ht-icon icon-signin">Sign In
      </h2>
      <div id="divInput">
        <p> Please enter the required username and password you provided during registration. </p>
        <ul class="form input width-90 margin-auto">
          <li id="liUsername">
            <label class="desc" for="username">Username</label>
            <input name="username" type="text" id="username" maxlength="50" class="width-30 margin-right">
            <a href="NOAuthentication/forgotUsername.aspx?KeepThis=true&amp;TB_iframe=true&amp;height=265&amp;width=400&amp;modal=true" class="thickbox" title="Forgot Username" tabindex="1">Forgot Username?</a>
          </li>
          <li id="liPassword">
            <label class="desc" for="password">Password</label>
            <input name="password" type="password" id="password" maxlength="20" class="width-30 margin-right">
            <a href="NOAuthentication/ForgotPassword.aspx" title="Forgot Password" tabindex="2">Forgot Password?</a>
          </li>
        </ul>
        <div class="clear width-90 margin-auto padding-top-lg">
          <a id="ASignIn" class="button float-right" title="Sign In button" tabindex="3" style="width:55px;" href="javascript:__doPostBack('ASignIn','')">Sign In</a>
          <input type="submit" name="BtnClick" value="Button" id="BtnClick" class="display-none" style="height:0px;width:0px;">
        </div>
      </div>
      <div class="clear">&nbsp;</div>
      <div class="padding-top-lg border-top">
        <div class="position-relative" style="position: relative; height: 100px;">
          <div style="position: absolute; left: 0px; width: 95%; height: 100px;">
            <h3 class="accessiblenotRegHeader">
              <img src="/style/images/icons/paym-sm.png" alt="Quick Pay" class="icon-sm.icon-paym">Quick Pay
            </h3>
            <p class="padding-left"> Make a statement payment quickly and without signing into your account. </p>
            <br>
            <div class="width-90 float-right ">
              <a onclick="javascript:popQuickPayWin('625','658');" class="button float-right" title="Quick Pay button" tabindex="4" style="width:55px;">Quick Pay</a>
            </div>
          </div>
        </div>
      </div>
      <h4 class="clear padding-top-lg defaultColor">Need Help?</h4>
      <p> If you need further assistance, please contact your practice. </p>
    </div>
    <ul class="list-none li-float text-small">
      <li><a href="javascript:;" title="Privacy Policy" onclick="policyWin('NOAuthentication/privacyPolicy.html', '520', '570');">Privacy Policy</a></li>
      <li><a href="javascript:;" title="Terms and Conditions" onclick="policyWin('NOAuthentication/termsAndConditions.html', '520', '570');">Terms &amp; Conditions</a></li>
      <li class="border-none"><a href="javascript:;" title="Security Notice" onclick="policyWin('NOAuthentication/securityNotice.html', '520', '570');">Security Notice</a></li>
    </ul>
  </div>
  <input type="hidden" name="hfInstaMedProcessing" id="hfInstaMedProcessing" value="Y">
  <script type="text/javascript">
    //<![CDATA[
    WebForm_AutoFocus('username'); //]]>
  </script>
</form>

Text Content

WELCOME TO THE PATIENT PORTAL

If you are already a member, please sign in. If you are not a member, please
register.


SIGN IN

Please enter the required username and password you provided during
registration.

 * Username Forgot Username?
 * Password Forgot Password?

Sign In
 


QUICK PAY

Make a statement payment quickly and without signing into your account.


Quick Pay

NEED HELP?

If you need further assistance, please contact your practice.

 * Privacy Policy
 * Terms & Conditions
 * Security Notice