Wordpress Contact Form needed

I need someone to help me create a contact form for our WordPress website. What I need is the following:

- I need a field for a doctors name

- phone number

- patients name

- patients phone number

- and a field where an attachment (PDF, Doc etc) can be included.

- I also want the form to be protected so spammers can not spam us.

Any questions, please ask

Taidot: WordPress, PHP, HTML, CSS, Verkkosivujen suunnittelu

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Tietoa työnantajasta:
( 113 arvostelua ) Fergus, Canada

Projektin tunnus: #31572987

Myönnetty käyttäjälle:


Dear Sir/Madam, Thank you for this wonderful opportunity. I am keenly considering your job post including these skills.I am working as team leader in webwised it is software and web solution company we are operating Lisää

$30 CAD 1 päivässä
(250 Arvostelua)

75 freelanceria on tarjonnut keskimäärin $25 tähän työhön


Hello sir hope have good day to you here to make form like you need i did many job here you can see my profile also when free let me knwo and we more discuss thank you payal

$30 CAD 1 päivässä
(1046 arvostelua)

Dear Sir, I can create form as per your requirement. Ready to start immediately. I am a Freelance WordPress Designer & Developer, have more than 12 years experience in designing and developing websites. My expertise Lisää

$30 CAD 1 päivässä
(385 arvostelua)

Dear Sir/Mam, Greetings! I hope you are doing well. I have read the description of your project and understood that you are looking for someone to create contact form on your WordPress website. I would love to work Lisää

$30 CAD 3 päivässä
(287 arvostelua)
(359 arvostelua)

will create contact form now,ready to start now thanks........................................................

$25 CAD 1 päivässä
(785 arvostelua)

Hi there, First of all, thanks for providing me the opportunity to work with you. Let me do it. Will be done in few mins. Form data will be sent to your email and also will be saved in backend. Please, check my genera Lisää

$20 CAD 2 päivässä
(564 arvostelua)
(132 arvostelua)

Hi, can you share the link of your current website so that i can have a look and check all the functionality? As for my expertise, i am an expert in web designing, responsive html development and wordpress development Lisää

$20 CAD 1 päivässä
(212 arvostelua)

Hi, I will create contact form in wordpress. I can do it right now.

$27 CAD 1 päivässä
(535 arvostelua)

Hello, I'm Abu Gosia. I'm interesting in your project very well. I'm good in C#, .Net Core, MVC, ASP.NET, Angular.js, Yii2, PHP, Laravel, Codeigneter, Wordpress, Open Cart. I m quite well experienced in these jobs. Let Lisää

$50 CAD 2 päivässä
(223 arvostelua)

sir i will make that form in 1 day I think you dont need to find any other person then me for quality of work, because I can do your job faster then others You can see my portfolio [login to view URL] Regards: Muh Lisää

$20 CAD 1 päivässä
(136 arvostelua)
(191 arvostelua)

Hi There, *I am available to start immediately.* I have read your post requirement for the "- I also want the form to be protected so spammers can not spam us. ". Now I have some questions to clear the things for this Lisää

$20 CAD 4 päivässä
(132 arvostelua)
(171 arvostelua)

Hi there, Hope you are keeping good health. I would like to introduce to myself that I am a professional, skilled and experienced developer. I have got exact set of skills to complete your project by given time frame Lisää

$10 CAD 1 päivässä
(108 arvostelua)
(64 arvostelua)

Dear Sir, Hope you are doing well. I understood your requirement about the need of contact form with the doctors, patients name, attachment and captcha . I have rich experience in WordPress, Magento, PHP, Website desig Lisää

$20 CAD 1 päivässä
(195 arvostelua)

Good Day ⭐ I am WordPress Expert ⭐⭐ Ready to start now to create a contact form for your WordPress website ⭐⭐ ✅ I've 5+ years experience in all the mention skills which are required for this job. Just looking for the q Lisää

$30 CAD 1 päivässä
(83 arvostelua)
(50 arvostelua)
(114 arvostelua)