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Submitted URL: http://ntst.com/trk?t=1&mid=MjkyLVhEUS0zNDEAAAGOLyl9VpqyO7saBXIJSw1xDzjdTuLyE9ZjU-fp7ipqox1QlsXm_8pyrDj25EvQ...
Effective URL: https://www.ntst.com/404?item=%2ftrk&user=extranet%5cAnonymous&site=netsmart
Submission: On September 14 via api from US — Scanned from DE
Effective URL: https://www.ntst.com/404?item=%2ftrk&user=extranet%5cAnonymous&site=netsmart
Submission: On September 14 via api from US — Scanned from DE
Form analysis
4 forms found in the DOM/search
<form action="/search" class="form-inline my-2 my-lg-0 flex-nowrap js-search-form">
<input class="form-control border-0" type="text" name="query" id="searchInputBox" placeholder="Search" aria-label="Search">
<button class="btn btn-primary-600 px-2" type="submit" onclick="$('.js-search-form').submit()">
<svg id="search-icon" class="search-svg" data-name="Layer 1" xmlns="http://www.w3.org/2000/svg" width="14.49" height="15" viewBox="0 0 14.49 15">
<title>search</title>
<path d="M14.49,13.29,10.85,9.65A6,6,0,0,0,12.08,6a6.12,6.12,0,1,0-3,5.21L12.78,15ZM2.42,6A3.62,3.62,0,1,1,6,9.66,3.62,3.62,0,0,1,2.42,6Z" fill="#fff"></path>
</svg>
</button>
</form>
/search
<form action="/search" class="form-inline my-2 my-lg-0 flex-nowrap js-search-form">
<input class="form-control border-0" type="text" name="query" id="searchInputBox" placeholder="Search" aria-label="Search">
<button class="btn btn-primary-600 px-2" type="submit" onclick="$('.js-search-form').submit()">
<svg id="search-icon" class="search-svg" data-name="Layer 1" xmlns="http://www.w3.org/2000/svg" width="14.49" height="15" viewBox="0 0 14.49 15">
<title>search</title>
<path d="M14.49,13.29,10.85,9.65A6,6,0,0,0,12.08,6a6.12,6.12,0,1,0-3,5.21L12.78,15ZM2.42,6A3.62,3.62,0,1,1,6,9.66,3.62,3.62,0,0,1,2.42,6Z" fill="#fff"></path>
</svg>
</button>
</form>
<form id="mktoForm_2434" novalidate="novalidate" class="mktoForm mktoHasWidth mktoLayoutLeft" style="font-family: Helvetica, Arial, sans-serif; font-size: 13px; color: rgb(51, 51, 51); width: 472px;">
<style type="text/css">
.mktoForm .mktoButtonWrap.mktoSimple .mktoButton {
color: #fff;
border: 1px solid #75ae4c;
padding: 0.4em 1em;
font-size: 1em;
background-color: #99c47c;
background-image: -webkit-gradient(linear, left top, left bottom, from(#99c47c), to(#75ae4c));
background-image: -webkit-linear-gradient(top, #99c47c, #75ae4c);
background-image: -moz-linear-gradient(top, #99c47c, #75ae4c);
background-image: linear-gradient(to bottom, #99c47c, #75ae4c);
}
.mktoForm .mktoButtonWrap.mktoSimple .mktoButton:hover {
border: 1px solid #447f19;
}
.mktoForm .mktoButtonWrap.mktoSimple .mktoButton:focus {
outline: none;
border: 1px solid #447f19;
}
.mktoForm .mktoButtonWrap.mktoSimple .mktoButton:active {
background-color: #75ae4c;
background-image: -webkit-gradient(linear, left top, left bottom, from(#75ae4c), to(#99c47c));
background-image: -webkit-linear-gradient(top, #75ae4c, #99c47c);
background-image: -moz-linear-gradient(top, #75ae4c, #99c47c);
background-image: linear-gradient(to bottom, #75ae4c, #99c47c);
}
</style>
<div class="mktoFormRow">
<div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
<div class="mktoOffset" style="width: 10px;"></div>
<div class="mktoFieldWrap mktoRequiredField"><label for="FirstName" id="LblFirstName" class="mktoLabel mktoHasWidth" style="width: 0px;">
<div class="mktoAsterix">*</div>
</label>
<div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="FirstName" name="FirstName" placeholder="First Name" maxlength="255" aria-labelledby="LblFirstName InstructFirstName" type="text"
class="mktoField mktoTextField mktoHasWidth mktoRequired" aria-required="true" style="width: 190px;"><span id="InstructFirstName" tabindex="-1" class="mktoInstruction"></span>
<div class="mktoClear"></div>
</div>
<div class="mktoClear"></div>
</div>
<div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
<div class="mktoOffset" style="width: 10px;"></div>
<div class="mktoFieldWrap mktoRequiredField"><label for="LastName" id="LblLastName" class="mktoLabel mktoHasWidth" style="width: 0px;">
<div class="mktoAsterix">*</div>
</label>
<div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="LastName" name="LastName" placeholder="Last Name" maxlength="255" aria-labelledby="LblLastName InstructLastName" type="text"
class="mktoField mktoTextField mktoHasWidth mktoRequired" aria-required="true" style="width: 190px;"><span id="InstructLastName" tabindex="-1" class="mktoInstruction"></span>
<div class="mktoClear"></div>
</div>
<div class="mktoClear"></div>
</div>
<div class="mktoClear"></div>
</div>
<div class="mktoFormRow">
<div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
<div class="mktoOffset" style="width: 10px;"></div>
<div class="mktoFieldWrap mktoRequiredField"><label for="Email" id="LblEmail" class="mktoLabel mktoHasWidth" style="width: 0px;">
<div class="mktoAsterix">*</div>
</label>
<div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="Email" name="Email" placeholder="Email Address" maxlength="255" aria-labelledby="LblEmail InstructEmail" type="email"
class="mktoField mktoEmailField mktoHasWidth mktoRequired" aria-required="true" style="width: 190px;"><span id="InstructEmail" tabindex="-1" class="mktoInstruction"></span>
<div class="mktoClear"></div>
</div>
<div class="mktoClear"></div>
</div>
<div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
<div class="mktoOffset" style="width: 10px;"></div>
<div class="mktoFieldWrap mktoRequiredField"><label for="Industry" id="LblIndustry" class="mktoLabel mktoHasWidth" style="width: 0px;">
<div class="mktoAsterix">*</div>
</label>
<div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><select id="Industry" name="Industry" aria-labelledby="LblIndustry InstructIndustry" class="mktoField mktoHasWidth mktoRequired" aria-required="true" style="width: 190px;">
<option value="">Community You Serve</option>
<option value="Autism">Autism</option>
<option value="Behavioral Health">Behavioral Health</option>
<option value="Child and Family">Child and Family</option>
<option value="Care at Home">Home Health Care</option>
<option value="I/DD">I/DD</option>
<option value="Rehab">Outpatient PT, OT and SLP Therapy</option>
<option value="Physician Practice">Physician Practice</option>
<option value="Public Health">Public Sector</option>
<option value="Senior Living">Senior Living</option>
<option value="Addictions">Substance Use and Addictions</option>
<option value="Other">Other</option>
</select><span id="InstructIndustry" tabindex="-1" class="mktoInstruction"></span>
<div class="mktoClear"></div>
</div>
<div class="mktoClear"></div>
</div>
<div class="mktoClear"></div>
</div>
<div class="mktoFormRow">
<div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
<div class="mktoOffset" style="width: 10px;"></div>
<div class="mktoFieldWrap"><label for="Company" id="LblCompany" class="mktoLabel mktoHasWidth" style="width: 0px;">
<div class="mktoAsterix">*</div>
</label>
<div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="Company" name="Company" placeholder="Organization" maxlength="255" aria-labelledby="LblCompany InstructCompany" type="text"
class="mktoField mktoTextField mktoHasWidth" style="width: 400px;"><span id="InstructCompany" tabindex="-1" class="mktoInstruction"></span>
<div class="mktoClear"></div>
</div>
<div class="mktoClear"></div>
</div>
<div class="mktoClear"></div>
</div>
<div class="mktoFormRow"><input type="hidden" name="LeadSource" class="mktoField mktoFieldDescriptor mktoFormCol" value="Website Misc Asset" style="margin-bottom: 10px;">
<div class="mktoClear"></div>
</div>
<div class="mktoFormRow">
<div class="mktoFormCol" style="margin-bottom: 10px;">
<div class="mktoOffset mktoHasWidth" style="width: 10px;"></div>
<div class="mktoFieldWrap">
<div class="mktoHtmlText mktoHasWidth" style="width: 461px;"><span style="color: #e0e0e0;">By continuing, you agree to Netsmart’s </span><span
style="color: #ffffff;"><a href="https://www.ntst.com/Terms-of-Use" target="_blank" id="" style="color: #ffffff;">Terms of Use</a></span><span style="color: #e0e0e0;"> and <span
style="color: #ffffff;"><a href="https://www.ntst.com/Privacy-Policy" target="_blank" id="" style="color: #ffffff;">Privacy Policy</a></span>.</span></div>
<div class="mktoClear"></div>
</div>
<div class="mktoClear"></div>
</div>
<div class="mktoClear"></div>
</div>
<div class="mktoFormRow"><input type="hidden" name="Netsmart_Contact__c" class="mktoField mktoFieldDescriptor mktoFormCol" value="true" style="margin-bottom: 10px;">
<div class="mktoClear"></div>
</div>
<div class="mktoButtonRow"><span class="mktoButtonWrap mktoSimple" style="margin-left: 120px;"><button type="submit" class="mktoButton">Submit</button></span></div><input type="hidden" name="formid" class="mktoField mktoFieldDescriptor"
value="2434"><input type="hidden" name="munchkinId" class="mktoField mktoFieldDescriptor" value="292-XDQ-341">
</form>
<form novalidate="novalidate" class="mktoForm mktoHasWidth mktoLayoutLeft" style="font-family: Helvetica, Arial, sans-serif; font-size: 13px; color: rgb(51, 51, 51); visibility: hidden; position: absolute; top: -500px; left: -1000px; width: 1600px;">
</form>
Text Content
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