clariti-health.com Open in urlscan Pro
35.237.105.5  Public Scan

Form analysis
1 forms found in the DOM

Name: form — POST

<form name="form" style="text-align:center;" method="post">
  <fieldset>
    <ul>
      <li style="border:none;">
        <input type="text" name="username" id="username" value="" placeholder="User Name*">
      </li>
      <li style="border:none;">
        <input type="password" name="password" id="password" placeholder="Password*">
      </li>
      <li>
        <input type="checkbox" id="remember" name="remember">
        <label for="remember">Remember Me</label>
      </li>
    </ul>
  </fieldset>
  <div id="statusbox" style="height:20px;color:red;font-weight:bold;padding-bottom:4px"></div>
  <input class="BtnGreen" name="button" type="submit" value="Login" onclick="return jsValidate();">
  <p><br>
    <a href="ForgotPassword.csp">Forgot Username or Password</a>
  </p>
</form>

Text Content

   
 * Log In
 * Contact
 * Home


WELCOME BACK

 * 
 * 
 * Remember Me




Forgot Username or Password