Suljettu

Form Creations

We need several forms created for a website. They entail the following:

-Prescription Refill Form

-Survey Form

-Make a Payment Form (Need to know the best way to handle this without involving online processors such as Verisign)

-Patient Information Update Form (this has been created but needs tweaking. It is a simple form, with a lot of fields, but needs to have "Not Applicable" checkboxes that will disregard the question and have required fields verified.)

Each of the forms need to have some type of required "digital signature" on them. The majority of the users probably won't be tech savy, so it needs to be simple. There will be dropdowns in some menus (word documents will be provided with what's expected and how it should look).

Thank you for looking and if work is done well and on time, we have more work for you.

Taidot: PHP

Näytä lisää: survey t, tech savy creations, what is been verified, type documents online, payment form, information tech, form word, best tech, online survey form website, checkboxes, website creations, php survey website, online patient, simple form website, simple form work, question form php, thank form, simple php survey form, simple survey form, php form required, php simple survey form, online survey form, online php form, php form online, simple survey php

Tietoa työnantajasta:
( 41 arvostelua ) Staten Island, United States

Projektin tunnus: #389802

23 freelanceria on tarjonnut keskimäärin 166 $ tähän työhön

phpMaestro

Hi, We have gone through your project details and we have perceived that we can do this best, as we have prior experiences on similar projects. Please check the PM. I am looking forward to your response and believe Lisää

150 $ USD 5 päivässä
(349 arvostelua)
10.0
websree

Hi, Kindly review pmb for more details. Thanks

120 $ USD 4 päivässä
(211 arvostelua)
8.3
Georgia

I am interested.

180 $ USD 7 päivässä
(99 arvostelua)
7.4
ccpplinux

Hi, Please see PMB for demo and more details. Best Regards ... ccpplinux

200 $ USD 5 päivässä
(148 arvostelua)
7.0
zub

Hello Sir, Please see the PM. thank you. With regards Zub

175 $ USD 7 päivässä
(87 arvostelua)
6.4
utpal4job

Hello, ready to start right now. Please refer PMB. Thanks.

140 $ USD 4 päivässä
(65 arvostelua)
5.9
fastphp

I will complete & start work as per.

250 $ USD 5 päivässä
(29 arvostelua)
5.6
crystalplanet

Chek PMB for more detail. Thanks

110 $ USD 3 päivässä
(31 arvostelua)
6.4
Jam87

Hi, please check PM for details. Thanks

120 $ USD 2 päivässä
(20 arvostelua)
5.7
phpexpertbd

Please Check PM.

190 $ USD 5 päivässä
(29 arvostelua)
5.8
ShahidMahmood

Hi, I would love to do it for [url removed, login to view] provide detailed [url removed, login to view]

150 $ USD 4 päivässä
(27 arvostelua)
5.0
dleony

Please check PM. Thanks!

150 $ USD 5 päivässä
(7 arvostelua)
4.6
gtservices

Hello, Please check PMB. Regards, Amit

200 $ USD 5 päivässä
(13 arvostelua)
4.7
Aramix

Ready to work! Thanks!

120 $ USD 3 päivässä
(12 arvostelua)
4.4
wdanford

Pleasev see PM for specific details.

250 $ USD 15 päivässä
(1 arvostelu)
2.8
Anub1s

Hello, please check your private message.

200 $ USD 7 päivässä
(9 arvostelua)
3.0
webwinner

Hello, We are expert in it. We can do this perfectly with producing *****Quality Work*******Delivery Within Time******Time-to-time Regular updates. We are waiting for your response. Thanks & Regards "webwinner"

110 $ USD 3 päivässä
(0 arvostelua)
0.0
memine123

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200 $ USD 3 päivässä
(0 arvostelua)
0.0
Ntronixs

I’m GURU for PHP, JAVA & Microsoft Technologies. I’ll make sure/commit to give 100% Quality/Bug Free/1Week Free 24*7 Support in the agreed budget. I may take less then quoted. The estimation of this assignment complete Lisää

250 $ USD 6 päivässä
(0 arvostelua)
0.0
fsdsolutions

Please check PMB.

125 $ USD 5 päivässä
(0 arvostelua)
0.0