verifymd.methodistmd.org
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198.254.16.60
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Submitted URL: https://verifymd.methodistmd.org/
Effective URL: https://verifymd.methodistmd.org/ApplicationSpecific/login.asp
Submission: On May 05 via manual from US — Scanned from US
Effective URL: https://verifymd.methodistmd.org/ApplicationSpecific/login.asp
Submission: On May 05 via manual from US — Scanned from US
Form analysis
1 forms found in the DOMPOST Login.asp
<form method="POST" action="Login.asp">
<input type="hidden" value="_6LX1CDD2R" name="Instance">
<input type="hidden" value="0" name="Counter">
<table border="0" cellspacing="3" cellpadding="3">
<tbody>
<tr>
<td width="100%" colspan="2" class="smallformheadline">Please Login</td>
</tr>
<tr>
<td width="35%" class="tablevaluelogin" nowrap="">Email:</td>
<td width="65%"><input id="text1" name="Email" maxlength="80" size="20" value=""></td>
</tr>
<tr>
<td width="35%" class="tablevaluelogin" nowrap=""> Password:</td>
<td width="65%"><input id="password1" name="UserPassword" type="password" maxlength="20" size="20" value=""></td>
</tr>
<tr>
<td width="35%" class="forgotpassword" nowrap=""></td>
<td width="65%" class="forgotpassword" nowrap="" valign="top"><a class="forgotpassword" href="RequestPassword_Task.asp">Forgot Password</a></td>
</tr>
<tr>
<td width="100%" colspan="2" align="right"><input type="submit" value="login" name="SubmitButton" class="blankbutton"></td>
</tr>
</tbody>
</table>
</form>
Text Content
MLHCCVS Please Login Email: Password: Forgot Password New Users Please click the icon to register. If a search of our computerized database does not result in information on the practitioner for which you are searching, this does not necessarily indicate that the practitioner does not have or has not had privileges at our facilities. It is possible that they do not appear for several reasons: · Practitioner's inactive file has not been loaded into the database · Practitioner was an applicant who did not complete the process · Practitioner was part of a graduate education program · Practitioner was an employee and not credentialed through the Medical Staff Please confirm the information with the practitioner, including other names which may have been used. If you would like us to further investigate this practitioner, please forward your signed release, along with your request, and we will be glad to search our archives. For questions please contact the administrator at (901)516-7194 Email: marilyn.mitchell@mlh.org