Customize a 6 page form for medical website
$250-750 USD
Paid on delivery
Customizing an online and coding it to where it can be fillable. Here is what the form contains: Name, address, insurance info, check boxes (like the sample forms I have added). (The sample forms are similar to the originals). The form is 6 pages.
A signature is needed at the end of the form. The doctor will purchase a tablet (Android or Mac) so his patients can fill out this medical form in his office, and also sign their signature using a touch screen tablet stylus pen. There should be a send button where the files will go to a secure location where medical staff can access them.
Developer should be familiar with security protocols and have a good command of English.
Sample work is a plus. You should tell us something about yourself, your experience and why you would be a good fit for the job. We just want to get to know you a little better.
Should also have an eye for design. We need the form to look exactly like the ones we will be supply.
Once I find the right developer for this project, will present the info to the client and if he agrees and pays, we will move forward.
We do not have a budget in mind so just tell us what something like this would cost. Remember you are not designing a new website, you will be developing a customized form on an existing website.
Remember I am also looking to see if you can follow instructions so before sending a quick bid, make you you read the entire post which lets me know that you are serious, professional, able to communicate and follow instructions.
Many of you are sending automatic bids without reading the contents of this email and understanding the project. This is a simple project for developers. You are not designing a website just forms in an existing website. I understand it is still work of course, but keep the actual work in mind when bidding and don't send me the same bid as you would had I asked you to build a website.
Also, I am getting asked questions that have already been covered in this brief. If you can't read the bid and follow instructions you will not be considered for the job.
Project ID: #8473565
About the project
44 freelancers are bidding on average $560 for this job
Let's discuss over freelancer Personal Message Box for the proper estimation of cost and time. I am myself developer so you will directly work with me. No mediators. No managers. No subcontractors. see my recent More
Hi, I have experience in web projects, if you check my reviews you will see that I have gotten excellent results from previous employers. If you have any questions or concerns please do not hesitate to contact me, than More
Hi I work towards providing reliable, relevant and robust IT solutions at most competitive prices to my customers. I ensure 100% customer satisfaction so lets start Thanks
Hi, Dino here, I would be interested in discussing this project with you. Thanks for the consideration, I hope to hear from you soon Dino Please check my portofolio
HI SIR AWARD ME RIGHT NOW I M 100% CONFIDENT FOR THIS PROJECT!!! I am ready to start this immediately. I am extremely eager and ready to go. I am all of the following; attentive, detailed, creative, dedicated, efficie More
Dear Sir. We claim to get it done perfectly for you EXACTLY in the way you want it - Kindly give we a chance and we will prove myself - Ready to prove our words, let's get it done right away and I mean RIGHT AWAY !! More
Dear Sir we are capable of performing the required task perfectly with accuracy, please let us know if you want to clarify in details.. if you want us to share our skill and previous work please initiate the chat b More
Hello sir,, I have read the project description & requirements carefully. I have checked the both attachment , I am confident that i can do it on time.. I would be very obliged if u will give me a chance to talk to you More
Hi hope you are doing well. I have taken a look at your task and I have confidence that we can work together, I am new here but we have lot of exp in this area. so give us a chance to prove myself. Once you give as a c More
Hello, I have been through your requirement, and would like to discuss more with you regarding same. I believe in Client Satisfaction. I provide my clients with end to end solution within the prescribed deadline More
