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45.223.138.17  Public Scan

Form analysis
1 forms found in the DOM

/search/

<form class="page-lead__form" action="/search/">
  <div class="input-group">
    <span class="input-group__label">Search For:</span>
    <div class="input-group__inputs">
      <label for="filter-by__a">
        <input type="radio" id="filter-by__a" name="practype" value="all" checked=""> All </label> <label for="filter-by__b">
        <input type="radio" id="filter-by__b" name="practype" value="Physician"> Physician </label> <label for="filter-by__c">
        <input type="radio" id="filter-by__c" name="practype" value="Physician Assistant"> Physician Assistant </label>
    </div>
  </div>
  <div class="input__wrapper">
    <div id="docinfo-autocomplete" class="search__autocomplete"><input type="text" name="docname" id="docname" placeholder="Search by Doctor's Name" autocomplete="off" value="" class="input-fill input__name">
      <ul class="list-unstyled autocomplete-results dropdown-menu"> <!----></ul>
    </div>
    <script>
      function onClickDropDown(searchUrl, token) {
        window.location.href = searchUrl + '&token=' + token
      }
    </script>
    <script>
      (function() {
        function initThisComponent() {
          new Vue({
            el: '#docinfo-autocomplete',
            data: function() {
              return {
                results: [],
                isOpen: false,
                showNotFound: false,
                searchUrl: '/search/',
                arrowCounter: -1
              };
            },
            methods: {
              onChange: function() {
                this.isOpen = true;
                this.hideOnClickOutside();
                this.getResults();
              },
              onArrowDown: function() {
                if (this.arrowCounter < this.results.length) {
                  this.arrowCounter += 1;
                }
              },
              onArrowUp: function() {
                if (this.arrowCounter > 0) {
                  this.arrowCounter -= 1;
                }
              },
              onEnter: function() {
                var self = this;
                verify('TypeaheadSearchEnter', function(token) {
                  if (self.arrowCounter >= 0) {
                    window.location.href = self.searchUrl + 'docprofile?docid=' + self.results[self.arrowCounter].Id + '&token=' + token
                  } else {
                    $('#reCaptchaToken').val(token);
                    document.querySelector('.page-lead__form').submit()
                  }
                })
              },
              select: function(result) {
                this.isOpen = false;
                this.arrowCounter = -1;
              },
              hideOnClickOutside: function() {
                let thisVue = this;
                var outsideClickListener = function(event) {
                  if (!thisVue.$el.contains(event.target)) { // or use: event.target.closest(selector) === null
                    thisVue.isOpen = false;
                    thisVue.arrowCounter = -1;
                    document.removeEventListener('click', outsideClickListener);
                  }
                };
                document.addEventListener('click', outsideClickListener, {
                  capture: false
                });
              },
              getResults: function() {
                let thisVue = this;
                let usstate = document.getElementById("usstate").value;
                let docName = document.getElementById("docname").value;
                let filterby = "";
                if (document.getElementById("filter-by__a").checked) {
                  filterby = document.getElementById("filter-by__a").value;
                }
                if (document.getElementById("filter-by__b").checked) {
                  filterby = document.getElementById("filter-by__b").value;
                }
                if (document.getElementById("filter-by__c").checked) {
                  filterby = document.getElementById("filter-by__c").value;
                }
                fetch('/api/docinfo/typeahead?docname=' + docName + "&usstate=" + usstate + "&practype=" + filterby).then(function(res) {
                  return res.json();
                }).then(function(data) {
                  thisVue.showNotFound = false;
                  if (data.length) {
                    thisVue.results = data;
                  } else {
                    thisVue.results = [];
                    if (docName.length) {
                      thisVue.showNotFound = true;
                    }
                  }
                });
              },
            }
          });
        }
        document.addEventListener('DOMContentLoaded', initThisComponent, false)
      })();
    </script>
    <input type="button" onclick="verify('HomeSearch', onClickSearch)" class="button input__search" value="Search">
  </div>
  <div class="select-css input__state">
    <select class="input-fill" name="usstate" id="usstate">
      <option value="" selected="">All States</option>
      <option value="Alabama">Alabama</option>
      <option value="Alaska">Alaska</option>
      <option value="American Samoa">American Samoa</option>
      <option value="Arizona">Arizona</option>
      <option value="Arkansas">Arkansas</option>
      <option value="Armed Forces Afr/Can/Eur/Mid E">Armed Forces Afr/Can/Eur/Mid E</option>
      <option value="Armed Forces Americas">Armed Forces Americas</option>
      <option value="Armed Forces Pacific">Armed Forces Pacific</option>
      <option value="American Samoa">American Samoa</option>
      <option value="California">California</option>
      <option value="Colorado">Colorado</option>
      <option value="Connecticut">Connecticut</option>
      <option value="Delaware">Delaware</option>
      <option value="District Of Columbia">District Of Columbia</option>
      <option value="Federated States Of Micronesia">Federated States Of Micronesia</option>
      <option value="Florida">Florida</option>
      <option value="Georgia">Georgia</option>
      <option value="Guam">Guam</option>
      <option value="Hawaii">Hawaii</option>
      <option value="Idaho">Idaho</option>
      <option value="Illinois">Illinois</option>
      <option value="Indiana">Indiana</option>
      <option value="Iowa">Iowa</option>
      <option value="Kansas">Kansas</option>
      <option value="Kentucky">Kentucky</option>
      <option value="Louisiana">Louisiana</option>
      <option value="Maine">Maine</option>
      <option value="Marshall Islands">Marshall Islands</option>
      <option value="Maryland">Maryland</option>
      <option value="Massachusetts">Massachusetts</option>
      <option value="Michigan">Michigan</option>
      <option value="Minnesota">Minnesota</option>
      <option value="Mississippi">Mississippi</option>
      <option value="Missouri">Missouri</option>
      <option value="Montana">Montana</option>
      <option value="Nebraska">Nebraska</option>
      <option value="Nevada">Nevada</option>
      <option value="New Hampshire">New Hampshire</option>
      <option value="New Jersey">New Jersey</option>
      <option value="New Mexico">New Mexico</option>
      <option value="New York">New York</option>
      <option value="North Carolina">North Carolina</option>
      <option value="North Dakota">North Dakota</option>
      <option value="Northern Mariana Islands">Northern Mariana Islands</option>
      <option value="Ohio">Ohio</option>
      <option value="Oklahoma">Oklahoma</option>
      <option value="Oregon">Oregon</option>
      <option value="Palau">Palau</option>
      <option value="Pennsylvania">Pennsylvania</option>
      <option value="Puerto Rico">Puerto Rico</option>
      <option value="Rhode Island">Rhode Island</option>
      <option value="South Carolina">South Carolina</option>
      <option value="South Dakota">South Dakota</option>
      <option value="Tennessee">Tennessee</option>
      <option value="Texas">Texas</option>
      <option value="Utah">Utah</option>
      <option value="Vermont">Vermont</option>
      <option value="Virgin Islands">Virgin Islands</option>
      <option value="Virginia">Virginia</option>
      <option value="Washington">Washington</option>
      <option value="West Virginia">West Virginia</option>
      <option value="Wisconsin">Wisconsin</option>
      <option value="Wyoming">Wyoming</option>
    </select>
  </div>
  <div class="recaptcha">
    <input type="hidden" name="token" id="reCaptchaToken" value="">
  </div>
  <button type="button" onclick="verify('HomeSearch', onClickSearch)" class="button button__search"><i class="material-icons">search</i></button>
</form>

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