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, 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, digital forms, survey form php

About the Employer:
( 41 reviews ) Staten Island, United States

Projektin tunnus: #389802

24 freelanceria on tarjonnut keskimäärin 167 $ 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
(264 arvostelua)
9.5
cheapestandbest

We have read and review all the detail requirements and confident to take up the challenges.looking forward for your kind consideration on this project.

180 $ USD 4 päivässä
(579 arvostelua)
8.7
websree

Hi, Kindly review pmb for more details. Thanks

120 $ USD 4 päivässä
(199 arvostelua)
7.9
Georgia

I am interested.

180 $ USD 7 päivässä
(91 arvostelua)
7.3
ccpplinux

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

200 $ USD 5 päivässä
(133 arvostelua)
6.9
crystalplanet

Chek PMB for more detail. Thanks

110 $ USD 3 päivässä
(30 arvostelua)
6.3
utpal4job

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

140 $ USD 4 päivässä
(64 arvostelua)
5.9
zub

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

175 $ USD 7 päivässä
(47 arvostelua)
5.8
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
fastphp

I will complete & start work as per.

250 $ USD 5 päivässä
(29 arvostelua)
5.6
ShahidMahmood

Hi, I would love to do it for you.Please provide detailed specs.Thanks

150 $ USD 4 päivässä
(27 arvostelua)
5.0
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
dleony

Please check PM. Thanks!

150 $ USD 5 päivässä
(5 arvostelua)
4.0
emxtrix

I understand everything except how you want to accept payment without an online processor. Please get in touch with my by PM.

200 $ USD 4 päivässä
(3 arvostelua)
3.0
Anub1s

Hello, please check your private message.

200 $ USD 7 päivässä
(9 arvostelua)
3.0
wdanford

Pleasev see PM for specific details.

250 $ USD 15 päivässä
(1 arvostelu)
2.8
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