site442-d6yam6r3.chartwire.cloud Open in urlscan Pro
64.79.134.105  Public Scan

Form analysis
1 forms found in the DOM

Name: loginForm — POST /mobiledoc/jsp/webemr/processLoginRequest

<form class="form-horizontal ng-pristine ng-valid" role="form" method="post" name="loginForm" id="loginForm" action="/mobiledoc/jsp/webemr/processLoginRequest" target="_top" autocomplete="off">
  <input type="hidden" name="username" id="doctorIDVal">
  <input type="hidden" id="password" name="password">
  <input type="hidden" id="lParam" name="lParam">
  <input type="hidden" id="aParam" name="aParam">
  <input type="hidden" id="isCaptcha" value="0">
  <input id="newLoginIpt1" type="hidden" name="_csrf" value="672b2e17-c057-4a00-9acf-9d0530ae76a1">
</form>

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ECLINICALWORKS





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