quickcap.santehealth.net Open in urlscan Pro
199.227.61.35  Public Scan

Form analysis
1 forms found in the DOM

Name: frm_add_record — POST index.php

<form name="frm_add_record" id="frm_add_record" method="post" action="index.php" onsubmit="return onSubmitClick();">
  <div class="company-logo">
    <ul>
      <li>
        <a href="#"><img alt="Sante Health System" src="https://quickcap.santehealth.net/PHP/general/images/fancy/SANTE.gif" id="comptdatas_SANTE" class="imgcompany licompany company_id_SANTE selectedCompany" onclick="setCompany('SANTE', 'https://quickcap.santehealth.net/PHP/general/images/fancy/SANTE.gif', 'SANTE');"></a>
      </li>
    </ul>
  </div>
  <div class="border-box">
    <input type="hidden" name="expire" value="true" id="expire">
    <input type="hidden" name="total_company" id="total_company" value="1">
    <input type="hidden" name="hid_profile_username" id="hid_profile_username" value="">
    <div class="company_sel" align="center">
      <img src="https://quickcap.santehealth.net/PHP/general/images/fancy/SANTE.gif" id="company_logo" style="display:none;" border="0">
      <div class="company-name">Sante Health System</div>
      <input type="hidden" id="slt_msocompanydb" name="slt_msocompanydb" value="SANTE"><input type="hidden" value="https://quickcap.santehealth.net/PHP/general/index.php" id="hid_login_request_url" name="hid_login_request_url">
      <input type="hidden" name="company_id" id="company_id" value="SANTE">
    </div>
    <div align="center">
      <font color="#FF0000" style="font-size:16px" class="errMessage">
      </font>
    </div>
    <div class="c-form">
      <script>
        var LBL_TaRtxt_username = 'Username';
      </script><input type="text" name="TaRtxt_username" id="TaRtxt_username" value="" class="log-input-box" placeholder="Username">
      <script>
        var LBL_TaRpas_password = 'Password';
      </script><input type="password" name="TaRpas_password" id="TaRpas_password" class="log-input-box" autocomplete="off" placeholder="Password">
      <input type="checkbox"> Remember me on this computer? <div class="btn-block">
        <input type="submit" value="Login" class="c-solid-btn">
        <input type="button" value="First Time User" class="c-transparent-btn" onclick="return requestToLogin();">
      </div>
      <div class="info-text"> <a href="#" onclick="return requestToForgetPass();">Forgot Password?</a> <a href="#" onclick="return requestToForgetUserName();">Forgot Username?</a> </div>
      <div class="contact-txt text-center pt-20">If you are unable to login, please contact us at<br>
        <a href="mailto:portalsupport@santehealth.net">portalsupport@santehealth.net</a> | <a href="tel:+"></a>
      </div>
    </div>
  </div>
  <div class="our-partners">
    <p>... Solutions for today's healthcare business.</p>
    <ul>
      <li><img src="images/quickcap/LOGIN/img/apollo.jpg" alt=""></li>
      <li><img src="images/quickcap/LOGIN/img/meditab.jpg" alt=""></li>
      <li><img src="images/quickcap/LOGIN/img/website4md.jpg" alt=""></li>
      <li><img src="images/quickcap/LOGIN/img/drcatalyst.jpg" alt=""></li>
    </ul>
  </div>
</form>

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DEFINING A NEW STANDARD INADVANCED HEALTHCARE ADMINISTRATION
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Sante Health System

Remember me on this computer?

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If you are unable to login, please contact us at
portalsupport@santehealth.net |

... Solutions for today's healthcare business.

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