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Login Option - MQAServices Portal
<!DOCTYPE html> <html lang="en"> <head> <meta charset="utf-8" /> <meta name="viewport" content="width=device-width, initial-scale=1.0" /> <title>Login Option - MQAServices Portal</title> <link rel="stylesheet" href="/datamart/voservicesportal/css/site.css?v=ZJg29BfKMfPQ1nmIkdqg6iWhTGRNJx2HnD4FfdtVCcU" /> <link href='https://fonts.googleapis.com/css?family=Oswald' rel='stylesheet' type='text/css' /> <link href='https://fonts.googleapis.com/css?family=Roboto:400,300,100&subset=latin-ext' rel='stylesheet' type='text/css' /> <link rel="stylesheet" type="text/css" href="/datamart/voservicesportal/lib/bootstrap/dist/css/bootstrap.css" /> <link rel="stylesheet" type="text/css" href="/datamart/voservicesportal/lib/font-awesome/css/fontawesome.min.css" /> <link rel="stylesheet" type="text/css" href="/datamart/voservicesportal/lib/font-awesome/css/solid.min.css" /> <link rel="stylesheet" type="text/css" href="/datamart/voservicesportal/css/global.css" /> <link href="/datamart/voservicesportal/css/doh-global.css" rel="stylesheet" /> <link rel="icon" href="/datamart/voservicesportal/flHealthIcon.ico" /> <style> a.applink:link, a.applink:visited { color: #fff; } body { margin-left: 0px; margin-right: 0px; margin-top: 0px; margin-bottom: 0px; overflow-x: hidden; overflow-y: hidden; } /*overwrite boosttrap default color*/ .btn-info { color: #fff; background-color: #17a2b8; border-color: #17a2b8; } </style> </head> <body> <div b-u698p9ybf2 id="main"> <div b-u698p9ybf2 class="siteheader"></div> <div b-u698p9ybf2 id="pageTop" width="100%"> <table b-u698p9ybf2 cellpadding="0" cellspacing="0" border="0" width="100%"> <tr b-u698p9ybf2> <td b-u698p9ybf2> <div b-u698p9ybf2 class="subheader"> <a b-u698p9ybf2 href="http://www.flhealthsource.gov/" style="cursor: pointer;" aria-label="Florida Department of Health web site" > <div b-u698p9ybf2 class="logo"></div></a> <div b-u698p9ybf2 style="padding-top: 8px; font-size: 5em; color: #fff; text-align: left; padding-left: 120px; text-shadow: 0px 1px 7px black;">MQA Online Services</div> </div> </td> </tr> </table> </div> <div b-u698p9ybf2 id="applicationBox" align="right"> <span b-u698p9ybf2 class="applicationLinksFont" style="text-align: left;"> <a b-u698p9ybf2 class="applink" href="/datamart/voservicesportal" style="cursor: pointer;" aria-label="Home">Home</a> | </span> <span b-u698p9ybf2 class="applicationLinksFont"> <a b-u698p9ybf2 class="applink" href="http://www.flhealthsource.gov/" target="_blank" style="cursor: pointer;" aria-label="FlHealthSource website">FL HealthSource</a> | </span> <span b-u698p9ybf2 class="applicationLinksFont"> <a b-u698p9ybf2 class="applink" href="https://flhealthcomplaint.gov" style="cursor: pointer;" aria-label="File a Complaint">File a Complaint</a> | </span> <span b-u698p9ybf2 class="applicationLinksFont"> <a b-u698p9ybf2 class="applink" href="http://www.flhealthsource.gov/mqa-services-faqs?" style="cursor: pointer;" target="_blank" aria-label="Frequenty Asked Questions">FAQs</a> | </span> <span b-u698p9ybf2 class="applicationLinksFont" style="padding-right: 10px"> <a b-u698p9ybf2 class="applink" href="http://www.flhealthsource.gov/telehealth/" target="_blank" style="cursor: pointer;" aria-label="Telehealth">Telehealth</a> </span> </div> <div b-u698p9ybf2 style="background-color:white" > <div id="divIframe" style="display: none" > <iframe id="iFrameDialog" src="https://mqa-vo.doh.state.fl.us/datamart/login.do" width="10" height="10"></iframe> </div> <div style="font-weight: bold; font-size:30px; color:red"></div> <div class="container"> <div class="row" align="center"> <div class="col-md-6" style="text-align: center;"> <form action="/datamart/voservicesportal/Login/PiiLogin" id="PiiLoginForm" method="post"> <div class="row" style="padding-top: 30px"> <div class="col-md-12"></div> </div> <div class="row"> <div class="col-md-1"></div> <div class="col-md-10" align="center"> <h2 style="border-bottom: solid 1px #113366;">Licensed Practitioner Login</h2> </div> <div class="col-md-1"></div> </div> <div class="row" style="padding-top: 15px"> <div class="col-md-12"></div> </div> <div class="row" style="margin-top: 5px" align="center" id="divLoginInfo"> <div style="width: 100%"> <div> <div class="row" style="margin-top: 5px" id="divLastName"> <div class="col-md-5" align="right">Licensee's Last Name :</div> <div class="col-md-6" align="left"> <input autocomplete="off" class="form-control" data-val="true" data-val-length="The field Licensee's Last Name: must be a string with a minimum length of 2 and a maximum length of 30." data-val-length-max="30" data-val-length-min="2" data-val-required="Licensee's Last Name can't be empty" id="lastName" maxlength="30" name="LastName" placeholder="Last Name" type="text" value="" /> <span class="field-validation-valid" data-valmsg-for="LastName" data-valmsg-replace="true" style="color:red"></span> </div> <div class="col-md-1"></div> </div> <div class="row" style="margin-top: 10px" id="divSsn"> <div class="col-md-5" align="right">Licensee's SSN :</div> <div class="col-md-6" align="left"> <input class="form-control" data-val="true" data-val-regex="Invalid Social Security Number" data-val-regex-pattern="^\d{9}|\d{3}-\d{2}-\d{4}$" data-val-required="The Licensee's SSN: field is required." id="ssn" name="SSN" placeholder="#########" type="password" value="" /> <span class="field-validation-valid" data-valmsg-for="SSN" data-valmsg-replace="true" style="color:red"></span> <span toggle="#ssn-field" class="fa-solid fa-eye-slash field-icon-right toggle-ssn right:10px" title="Click to display actual data"></span> </div> <div class="col-md-1"></div> </div> <div class="row" style="margin-top: 10px" id="divDob"> <div class="col-md-5" align="right">Licensee's Date Of Birth :</div> <div class="col-md-6" align="left"> <div class="form-group"> <div class='input-group date' id='divdateofBirth'> <input autocomplete="off" class="form-control" id="dateofBirth" name="DateofBirth" placeholder="mm/dd/yyyy" type="date" value="" /> <span class="field-validation-valid" data-valmsg-for="DateofBirth" data-valmsg-replace="true" style="color:red"></span> <span class="input-group-addon"> <span class="glyphicon glyphicon-calendar"></span> </span> </div> </div> </div> <div class="col-md-1"></div> </div> <div class="row" style="margin-top: 5px; margin-bottom: 20px"> <div class="col-md-5" align="right"> </div> <div class="col-md-6" align="left"> <button type="submit" class="g-recaptcha btn btn-info btn-block" style="width:100%" data-sitekey="6Lec8YcUAAAAADOYRqwnsYUWUdrFLPttD7VQjH_R" data-callback="onSubmit" data-size="invisible" id="btnSubmit">Login</button> <span class="field-validation-valid" data-valmsg-for="InvisibleCaptchaMsg" data-valmsg-replace="true" style="color:red"></span> </div> <div class="col-md-1"></div> </div> <div class="row" style="margin-top: 5px; margin-bottom: 20px"> <div class="col-md-1"></div> <div class="col-md-10" align="left"> <span style="font-style:italic"> NOTE: Not all mobile devices are fully compatible with the online system at this time. It is highly recommended that you have access to a desktop or laptop computer. </span> </div> <div class="col-md-1"></div> </div> <div class="row" style="padding-top: 30px"> <div class="col-md-12"></div> </div> </div> </div> </div> <input name="__RequestVerificationToken" type="hidden" value="CfDJ8A3nzU24EnNGtlix_wbjngsliDtwny2mPXbSxjOOZPiCA6a2BBY1BtNgGIDbXA4iyPE1i6HuQEwq-KTxNLWBRB7LkSlDEbyyHZIkipR1dRosuP6WST8geXwvb_WaFn7zxtuYLmfwLK46M7QdPFGcnMs" /></form> </div> <div class="col-md-6" style="border-left: 1px solid #336699; text-align: center; "> <div class="row" align="center" id="divLoginOption"> <div style="width: 100%"> <div> <div class="row" style="padding-top: 30px"> <div class="col-md-12"></div> </div> <div class="row"> <div class="col-md-1"></div> <div class="col-md-10" align="center"> <h2 style="border-bottom: solid 1px #113366;">Other Users Login Options</h2> </div> <div class="col-md-1"></div> </div> <div class="row" style="padding-top: 15px"> <div class="col-md-12"></div> </div> <div class="row"> <div class="col-md-1"></div> <div class="col-md-10 " align="center" style="padding-bottom: 3px"> <div class="complaint-selector-option-content" data-toggle="tooltip" data-type="info" data-placement="top" title="Click here if you have never created a MQA Online Services account and want to apply online for a practitioner or Business Establishment license." lang="en-us" onclick="clearAll(); location.href = 'https://mqa-vo.doh.state.fl.us/datamart/registrationFLMQA.do?from=loginPage'"> <div>Create New Applicant Account</div> </div> </div> <div class="col-md-1"></div> </div> <div class="row"> <div class="col-md-1"></div> <div class="col-md-10" align="center"> <hr style="border: solid 1px #000000; background-color:#000000;" /> </div> <div class="col-md-1"></div> </div> <div class="row"> <div class="col-md-1"></div> <div class="col-md-10 " align="center" style="padding-top: 15px; padding-bottom: 10px; color:#0026ff"> <div class="complaint-selector-option-content" data-toggle="tooltip" data-type="info" data-placement="top" title="Click here to log into accounts for Electrolysis Facility, Dental Lab, Massage Establishment, Massage School, Office Surgery Registration, Optical Establishment, Pain Management Clinic, Pharmacy and Pharmacy Technician Training Program . You will be sent to the login screen and asked to provide your UserID and Password to access the account." onclick="clearAll(); location.href = '/datamart/voservicesportal/Login/UserIdLogin';"> <div>Business Establishment / School</div> </div> </div> <div class="col-md-1"></div> </div> <div class="row" style="margin-bottom: 10px"> <div class="col-md-1"></div> <div class="col-md-10 " align="center"> <div class="complaint-selector-option-content" data-toggle="tooltip" data-type="info" data-placement="top" title="Click here if you have applied online to the Florida Department of Health to be a new practitioner. You will be sent to the login screen and asked to provide your UserID and Password to access the application." onclick="clearAll(); location.href = '/datamart/voservicesportal/Login/UserIdLogin';"> <div>Returning Applicant / Licensee Login</div> </div> </div> <div class="col-md-1"></div> </div> <div class="row" style="margin-bottom: 10px"> <div class="col-md-1"></div> <div class="col-md-10 " align="center"> <div class="complaint-selector-option-content" data-toggle="tooltip" data-type="info" data-placement="top" title="Prescription Pad Vendor Login." onclick="location.href = '/datamart/voservicesportal/Login/UserIdLogin';"> <div>Prescription Pad Vendor Login</div> </div> </div> <div class="col-md-1"></div> </div> <div class="row"> <div class="col-md-1"></div> <div class="col-md-10 " align="center" style="margin-top: 20px; margin-bottom: 0px"> <span style="color:red"><b>*</b></span> <a href="http://www.flhealthsource.gov/telehealth/" target="_blank" style="cursor: pointer;"> Click here for Out-of-State Telehealth</a> </div> <div class="col-md-1"></div> </div> <div class="row"> <div class="col-md-1"></div> <div class="col-md-10 " align="center" style="margin-top: 20px; margin-bottom: 0px"> <span style="color:red"><b>*</b></span> <a href="https://flhealthsource.gov/other-payer" style="cursor: pointer;" aria-label=" "> Click here for Other Payer</a> </div> <div class="col-md-1"></div> </div> <div class="row" style="padding-top: 10px"> <div class="col-md-12"></div> </div> </div> </div> </div> <div> <input id="loginOption" name="loginOption" type="hidden" value="" /> </div> </div> </div> </div> </div> <div b-u698p9ybf2 class="clear"></div> <div b-u698p9ybf2 id="pageBottom" class="footer"> <div b-u698p9ybf2 class="base"> <div b-u698p9ybf2 class="dohbase"> <div b-u698p9ybf2 class="centerlot"> <a b-u698p9ybf2 class="two" href="https://www.dms.myflorida.com/support/privacy_statement" target="_blank" style="cursor: pointer;" aria-label="Privacy Statement">Privacy Statement</a> | <a b-u698p9ybf2 class="two" href="http://www.flhealthsource.gov/disclaimer" target="_blank" style="cursor: pointer;" aria-label="Disclaimer">Disclaimer</a> | <a b-u698p9ybf2 class="two" href="https://mqawebsupport.wufoo.com/forms/qg787hh02q093j/" target="_blank" style="cursor: pointer;" aria-label="Feedback">Feedback</a> | <a b-u698p9ybf2 class="two" href="http://www.floridahealth.gov/email-advisory.html" target="_blank" style="cursor: pointer;" aria-label="Email Advisory">Email Advisory</a> </div> </div> </div> <div b-u698p9ybf2 class="sitefooter" style="height: 80px;"> <div b-u698p9ybf2 class="baseblockleft"> <p b-u698p9ybf2 style="line-height: 1.3em; text-align: left; font-family: Arial, sans-serif; color: black;"> © <script type="text/javascript"> document.write(new Date().getFullYear())</script> FL HealthSource, All Rights Reserved<br b-u698p9ybf2 /> <b b-u698p9ybf2>Florida Department of Health</b> | Division of Medical Quality Assurance Web Portal </p> </div> <div b-u698p9ybf2 class="baseblockright"> <a b-u698p9ybf2 href="http://www.flhealthsource.gov/" target="_blank" style="cursor: pointer;" aria-label="Florida Department of Health Website link"la><div b-u698p9ybf2 class="footerLogo"></div></a> </div> </div> </div> </div> <script src="/datamart/voservicesportal/lib/jquery/dist/jquery.min.js"></script> <script src="/datamart/voservicesportal/lib/bootstrap/dist/js/bootstrap.bundle.min.js"></script> <script src="/datamart/voservicesportal/js/site.js?v=BxFAw9RUJ1E4NycpKEjCNDeoSvr4RPHixdBq5wDnkeY"></script> <script src='https://www.google.com/recaptcha/api.js'></script> <script type="text/javascript"> $(document).ready(function () { $('#dateofBirth').bind('keyup', 'keydown', function (event) { var inputLength = event.target.value.length; if (event.keyCode != 8) { if (inputLength === 2 || inputLength === 5) { var thisVal = event.target.value; thisVal += '/'; $(event.target).val(thisVal); } } }); $(".toggle-ssn").click(function () { $(this).toggleClass("fa-eye fa-eye-slash"); var input = $($(this).attr("toggle")); if ($('#ssn').attr("type") == "password") { $('#ssn').attr("type", "text"); } else { $('#ssn').attr("type", "password"); } }); $('[data-toggle="tooltip"]').tooltip(); }); function onSubmit() { $('#btnSubmit').prop('disabled', true); document.getElementById("PiiLoginForm").submit(); }; function clearAll() { $("#lastName").val(""); $("#ssn").val(""); $("#dateofBirth").val(""); }; $('#iFrameDialog').ready(function () { //Everything you need. $('#btnSubmit').prop('disabled', false); }); </script> </body> </html>