drballyhoo.com
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urlscan Pro
104.225.251.135
Public Scan
Submitted URL: https://www.drballyhoo.com/
Effective URL: https://drballyhoo.com/
Submission: On April 28 via api from US — Scanned from DE
Effective URL: https://drballyhoo.com/
Submission: On April 28 via api from US — Scanned from DE
Form analysis
3 forms found in the DOM<form id="loginform">
<div class="prompt_group">
<div class="prompt">E-Mail:</div>
<div class="prompt_data"><input type="text" name="email"></div>
</div>
<div class="prompt_group">
<div class="prompt">Password:</div>
<div class="prompt_data"><input type="password" name="password"></div>
</div>
<div class="window_button"><button type="button" onclick="loginRequest();">Log In</button></div>
<div id="message" class="message"></div>
</form>
<form id="registerform">
<div class="prompt_group">
<div class="prompt">E-Mail:</div>
<div class="prompt_data"><input type="text" name="email"></div>
</div>
<div class="prompt_group">
<div class="prompt">Provider Name:</div>
<div class="prompt_data"><input type="text" name="provider"></div>
</div>
<div class="prompt_group">
<div class="prompt">Password:</div>
<div class="prompt_data"><input type="password" name="password"></div>
</div>
<div class="prompt_group">
<div class="prompt">Verify Password:</div>
<div class="prompt_data"><input type="password" name="verify"></div>
</div>
<div class="window_button"><button type="button" onclick="registerRequest();">Register</button></div>
<div id="message2" class="message"></div>
<div class="window_text">To return to login <a onclick="selectPage('login')">click here</a>.</div>
</form>
<form id="uploadFileData" enctype="multipart/form-data">
<div class="window_text">You can print a logo on the treatment sheets by uploading it here.</div>
<div class="prompt_data"><input type="file" id="file" name="logo_data"></div>
<div class="window_button"><button type="button" onclick="uploadImage();">Upload Image</button></div>
<div id="message3" class="message"></div>
<div><img id="headingImage" class="heading_image"></div>
</form>
Text Content
Loading... DR. BALLYHOO -------------------------------------------------------------------------------- CONTACT US LOGIN -------------------------------------------------------------------------------- This is the website where you put all the stuff to sell Dr. Ballyhoo's services. Use Dr. Ballyhoo to print highly specialized treatment notes to your patient for improved treatment quality. Improve access to your favorite rating services to get your rating counts up. Privacy Policy Terms and Conditions This is the login for Dr. Ballyhoo. E-Mail: Password: Log In Or if you do not have an account, please register. Register If you have an account but have forgotten your password, click here. DR. BALLYHOO ACCOUNT REGISTRATION Enter the following information: E-Mail: Provider Name: Password: Verify Password: Register To return to login click here. Check your e-mail to find an e-mail verification request and click the button on the e-mail. If you do not see it, please check your spam. You may make another request by pressing the button. Resend Verification E-Mail PAYMENT OPTIONS Select the payment period you would like to purchase: Free 30 day trial $30 Monthly Billed $300 Annualy Billed Start Trial Thank you for your payment! A receipt has been sent to your e-mail. You can also print this page as a receipt if you did not receive one. Place receipt data here. Proceed to account. ACCOUNT INFORMATION This is the account page. I am working on providing information entry that will reflect on the printed output from the treatment instructions function. PAYMENT STATUS Make Payment -------------------------------------------------------------------------------- CUSTOM HEADING IMAGE You can print a logo on the treatment sheets by uploading it here. Upload Image -------------------------------------------------------------------------------- Diagnosis