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ref.healthcaresource.com Open in urlscan Pro
64.74.110.196  Public Scan

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Submitted URL: http://ref.healthcaresource.com/
Effective URL: https://ref.healthcaresource.com/
Submission: On May 03 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST /

<form id="login-form" action="/" method="post"> <img src="/res/img/symplr_Logo.svg" class="img img-responsive">
  <h5>Reference Assessment</h5>
  <div class="form-group">
    <input class="form-control" placeholder="username " name="LoginForm[userName]" id="LoginForm_userName" type="text">
  </div>
  <div class="form-group">
    <input style="display:none" class="LoginForm_passwordClear form-control" id="LoginForm_password_clear" autocomplete="off" name="LoginForm[password]" type="text"><input class="LoginForm_passwordHidden form-control" autocomplete="off"
      placeholder="password" name="LoginForm[password]" id="LoginForm_password" type="password">
  </div>
  <input type="hidden" name="LoginForm[resolution]" id="LoginForm_resolution">
  <div class="actions" style="padding-top: 20px; margin-left: -10px">
    <button type="submit" class="btn btn-primary" id="main-login-form-button" style="width:100%;"> Log In <i class="si-white si-sm si-log-in"></i></button>
  </div>
  <div class="clearfix" style="padding-top: 20px;text-align: center">
    <div class="input">
      <a href="/site/forgot">Trouble signing in?</a>
    </div>
  </div>
</form>

Text Content

REFERENCE ASSESSMENT



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