radychildrens.ambrahealth.com Open in urlscan Pro
198.102.255.22  Public Scan

Form analysis
2 forms found in the DOM

<form onsubmit="return createAccount(this)" class="form-horizontal">
  <div class="form-group">
    <div class="page-header col-sm-offset-2 col-sm-3">
      <h1 data-i18n-token="global:register">Register</h1>
      <a href="/" data-i18n-token="global:already-have-an-account">Already have an account?</a>
      <ul id="custom-docs" class="list-unstyled" style="padding-top: 15px; display: none;">
      </ul>
    </div>
  </div>
  <div class="form-group">
    <label class="col-sm-2 control-label required_before" data-i18n-token="global:first-name" data-symbol="*">First name</label>
    <div class="col-sm-3">
      <input data-validate="required" class="form-control" id="first" size="30" type="text" tabindex="1">
      <span class="help-inline"></span>
    </div>
  </div>
  <div class="form-group">
    <label class="col-sm-2 control-label required_before" data-i18n-token="global:last-name" data-symbol="*">Last name</label>
    <div class="col-sm-3">
      <input data-validate="required" class="form-control" id="last" size="30" type="text" tabindex="2">
      <span class="help-inline"></span>
    </div>
  </div>
  <div class="form-group">
    <label class="col-sm-2 control-label required_before" data-i18n-token="global:email-address" data-symbol="*">Email Address</label>
    <div class="col-sm-3">
      <input data-validate="required email" class="form-control" id="email" size="30" type="text" tabindex="3">
      <span class="help-inline"></span>
      <div class="duplicate-email"></div>
    </div>
  </div>
  <div class="form-group">
    <label class="col-sm-2 control-label required_before" data-i18n-token="global:password" data-symbol="*">Password</label>
    <div class="col-sm-3">
      <input data-validate="required" type="password" autocomplete="off" id="password" class="form-control" size="30" tabindex="4">
      <span class="help-inline"></span>
    </div>
  </div>
  <div class="form-group">
    <label class="col-sm-2 control-label required_before" data-i18n-token="global:confirm-password" data-symbol="*">Confirm password</label>
    <div class="col-sm-3">
      <input data-validate="required" type="password" autocomplete="off" id="password_confirm" class="form-control" size="30" tabindex="5">
      <span class="help-inline"></span>
      <div id="password-requirement-wrapper">
        <span class="help-block" data-i18n-token="global:eight-chars-longer"> 8 characters or longer, containing 2 numbers and 2 letters </span>
      </div>
    </div>
  </div>
  <div class="form-group" style="display:none">
    <label class="col-sm-2"></label>
    <div id="vanity-custom-fields-group" class="col-sm-3">
    </div>
  </div>
  <div class="form-group">
    <div id="accept-links" class="col-sm-offset-2 col-sm-5">
      <div id="terms-agreement-wrapper" class="agreement-wrapper">
        <div class="checkbox">
          <label class="checkbox__label">
            <input id="tos" value="1" tabindex="6" type="checkbox" data-validate="required">
            <span data-i18n-token="global:i-accept-the-masculine" class="checkbox__text required_before" data-symbol="*">I accept the</span>
            <a class="terms-page-link" href="/terms.html" target="_blank" data-i18n-token="global:terms-of-use">Terms of Use</a>
          </label>
        </div>
        <span class="help-inline"></span>
      </div>
      <div id="privacy-agreement-wrapper" class="agreement-wrapper">
        <div class="checkbox">
          <label class="checkbox__label">
            <input id="hip" value="1" tabindex="7" type="checkbox" data-validate="required">
            <span data-i18n-token="global:i-accept-the-feminine" class="checkbox__text required_before" data-symbol="*">I accept the</span>
            <a class="privacy-page-link" href="/privacy.html" target="_blank" data-i18n-token="global:privacy-policy">Privacy Policy</a>
          </label>
        </div>
        <span class="help-inline"></span>
      </div>
      <div id="indicator-agreement-wrapper" class="agreement-wrapper">
        <div class="checkbox">
          <label>
            <input id="ifu" value="1" tabindex="8" type="checkbox" data-validate="required">
            <span data-i18n-token="global:i-accept-the-feminine" class="checkbox__text required_before" data-symbol="*">I accept the</span>
            <a class="indications-page-link" href="/indications.html" target="_blank" data-i18n-token="global:indications-for-use">Indications for Use</a>
          </label>
        </div>
        <span class="help-inline"></span>
      </div>
    </div>
  </div>
  <div class="form-group">
    <div class="col-sm-offset-2 col-sm-3">
      <input type="submit" class="btn btn-primary" value="Register" data-i18n-value="global:join" tabindex="9">&nbsp; <button class="btn btn-default" data-i18n-token="global:cancel" data-dicomgrid-action-click="redirect-home"
        tabindex="10">Cancel</button>
    </div>
  </div>
</form>

<form id="page_status_form">
</form>

Text Content

 * Studies
 * Images
 * Activities
 * HL7
 * Patients
 * Analytics
 * Cases
 * Orders
 * Messages
 * Appointments
 * Sites
 * Queries
 * Research
 * Administration

 * Help
 * 
 * 
 * Sign Out


REGISTER

Already have an account?
First name

Last name

Email Address

Password

Confirm password
8 characters or longer, containing 2 numbers and 2 letters

I accept the Terms of Use
I accept the Privacy Policy
I accept the Indications for Use
  Cancel
 * Indications for Use
 * Terms of Use
 * Privacy Policy
 * 03-23-22 05:18:29 MST
   User name:
   User uuid:
   Account name:
   Account uuid:
   Page:
   Page load time: 2874ms
   Completed Actions
   /api/v3/system/settings ( 242b, 192ms)
   /api/v3/terminology/list ( 146b, 3 records, 196ms)
   Browser information
   Browser: Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML,
   like Gecko) Chrome/99.0.4844.51 Safari/537.36
   Connection: 4g 10Mbps
 * +AMBRHEALTHSOLUTIONS0/$$+7_V3.22.1.0 R
   
 * © 2022 DICOM Grid, Inc (dba Ambra Health)

Please verify reCAPTCHA
Verification expired. Check the checkbox again, please.
Required field
Invalid date entered. Please enter dates in the format:
Please enter dates in the format
Please enter a valid email address
Please enter a valid number
Please enter only alphanumeric characters
Please remove spaces
Please enter more characters
Please enter less characters
Please enter a valid phone number e.g. +18885872280
Invalid JSON
Please enter valid RegExp
{{item}} saved.
Delete {{item}}?
Remove {{item}}?
{{item}} deleted.
{{item}} removed.
{{item}} enabled.
Not allowed columns: {{#columns}}{{.}}{{/columns}}
Study for patient {{patient_name}} was sent to PACS {{pacs_name}}
Please select at least one activity.
Please select at least one {{type}} activity.
Study for {{PatientName}} was shared successfully with {{destinationName}}.
Modality {{ modality }} already has a price
Password for {{ username }} has been reset
Please select at least one share.
Study shares successfully removed.
Please accept agreement
Please accept terms and conditions
{{patient}} study request status has been changed
The list of available organizations is empty. Check your organization settings.
Current price configuration uses custom fields that have been removed.
Configuration updates required.
choose action Go
Patient Name Patient Sex Patient ID DOB Accession # Study Description Referring
Physician Study Stage Send Status Destination name Study Date Uploaded Date
Starred Thin Modality Study UID Study UUID Tags {{#customfields}} {{name}}
{{/customfields}}