exapacs.swisherhospital.com
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146.88.29.60
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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
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 DOMPOST /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