exapacs.swisherhospital.com Open in urlscan Pro
146.88.29.60  Public Scan

Submitted URL: https://exapacs.swisherhospital.com/
Effective URL: https://exapacs.swisherhospital.com/KMHA/login
Submission: On December 11 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST /login

<form action="/login" method="POST" autocomplete="off"><input type="hidden" name="_csrf" value="2cgDhK9r-XWcXi6AF8puub4lCH2cMTj2-Fvk">
  <div class="login-form">
    <ul class="form-list">
      <li id="liFdaWarning" style="display:none;">
        <div id="loginNotFDAApproved" style="text-align:center;font-size:14px;color:red;">Not intended for Diagnostic Use</div>
      </li>
      <li id="legend"><span style="color: red;font-size:120%"></span></li>
      <li>
        <div class="form-control-block"><i class="icon-ic-patient"></i><input id="username" type="text" placeholder="Username" name="username" autocomplete="off" class="form-control"></div>
      </li>
      <li>
        <div class="form-control-block"><i class="icon-ic-lock"></i><input id="password" type="password" placeholder="Password" name="password" class="form-control"></div>
      </li>
      <li><input id="chkRememberUsername" type="checkbox" name="chkRememberUsername"><label id="loginRememberMe" for="chkRememberUsername" class="checkbox">Remember Me</label></li>
      <li><input id="chkHipaaPrivacy" type="checkbox" name="hippa"><label for="chkHipaaPrivacy" class="checkbox"><a id="loginHipaaAgreement" href="/hipaa.pdf">I Agree to the HIPAA Privacy Notice</a></label></li>
      <li><button id="btnlogin" type="submit" value="Sign In" onclick="return chkRemember()" class="btn btn-primary">Login</button><input id="hdnApiCode" name="apiCode" type="hidden"><input id="hdnMobileDevice" name="mobileDevice" type="hidden"></li>
    </ul>
  </div>
  <div class="login-form-portals">
    <ul class="form-list">
      <li class="portal-buttons row">
        <div id="physician-portal" class="col-xs-6 portal-col"><a id="anc_physician_portal" href="https://exapacs.swisherhospital.com/phy/KMHA/login" class="btn btn-physician-portal">Physician Portal</a></div>
      </li>
      <li>
        <div style="text-align:center;"><span id="loginExaVersion">Exa Version</span>1.4.33-p5</div>
        <div style="text-align:center;font-size:12px;">UDI (01)00817100020544(10)01-04-033</div>
      </li>
    </ul>
  </div>
</form>

Text Content

 * Not intended for Diagnostic Use
 * 
 * 
 * 
 * Remember Me
 * I Agree to the HIPAA Privacy Notice
 * Login

 * Physician Portal
 * Exa Version1.4.33-p5
   UDI (01)00817100020544(10)01-04-033