identity.bregvisioncloud.com Open in urlscan Pro
2606:4700:20::ac43:4891  Public Scan

Form analysis
1 forms found in the DOM

POST

<form action="" method="post">
  <input type="hidden" id="ReturnUrl" name="ReturnUrl"
    value="/connect/authorize/callback?client_id=breg_vision_client&amp;redirect_uri=https%3A%2F%2Fwww.bregvisioncloud.com%2Fauth-callback&amp;response_type=token%20id_token&amp;scope=openid%20practice%20practiceapi%20visionapi%20profile%20identityserverapi%20orderapi%20patientapi%20dispenseapi&amp;state=b1c97a876bf24f56897056abac785864&amp;nonce=843904583b234203854639f9fa69fe6a&amp;originUrl=https%3A%2F%2Fwww.bregvisioncloud.com%2F&amp;client=undefined">
  <fieldset class="fieldset-margins">
    <div class="form-group required">
      <label class="breg-loginbox-label" for="Username">Username</label>
      <input type="text" class="form-control" placeholder="Username" autofocus="" required="" data-val="true" data-val-required="The Username field is required." id="Username" name="Username" value="">
    </div>
    <div class="form-group required">
      <label class="breg-loginbox-label" for="Password">Password</label>
      <input type="password" class="form-control" placeholder="Password" autocomplete="off" required="" data-val="true" data-val-required="The Password field is required." id="Password" name="Password">
    </div>
    <div class="form-group">
      <a class="forgot-your-pass" href="/Account/ForgotPassword?returnurl=%2Fconnect%2Fauthorize%2Fcallback%3Fclient_id%3Dbreg_vision_client%26redirect_uri%3Dhttps%253A%252F%252Fwww.bregvisioncloud.com%252Fauth-callback%26response_type%3Dtoken%2520id_token%26scope%3Dopenid%2520practice%2520practiceapi%2520visionapi%2520profile%2520identityserverapi%2520orderapi%2520patientapi%2520dispenseapi%26state%3Db1c97a876bf24f56897056abac785864%26nonce%3D843904583b234203854639f9fa69fe6a%26originUrl%3Dhttps%253A%252F%252Fwww.bregvisioncloud.com%252F%26client%3Dundefined">Forgot your password?</a>
    </div>
    <div class="form-group text-right">
      <button class="login-button login-text" name="button" id="Login-btn" value="login">Log In</button>
      <button id="loading" class="login-button login-text" type="button" disabled=""> Logging In..... </button>
    </div>
  </fieldset>
  <input name="__RequestVerificationToken" type="hidden" value="CfDJ8FQWnLZh6nBDtLd5IaZHj_ceMB5c0xOnax9siUuVya0oKGK0QM5AV76F9EX6IfUiSb3BEyMTzO5ZVdscefnL-B2_X7T0iOdIlrqY_aEZIwIwnSNvNbULE2jcSiDPeYVEPiAsNgSuqZqIonelaFB0G9g">
</form>

Text Content

Username
Password
Forgot your password?
Log In Logging In.....
Breg Vision Support
888-290-8481
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Part of the Breg Impact family of solutions and services.