Customize a 6 page form for medical website

終了済み 投稿 Sep 14, 2015 着払い
終了済み 着払い

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.

グラフィックデザイン HTML PHP ウェブセキュリティ ウェブサイトのデザイン

プロジェクトID: #8473565

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44個の提案 リモートプロジェクト アクティブ Nov 3, 2015

44人のフリーランサーが、平均$560 で、この仕事に入札しています。

meet2amitvw

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 もっと

$721 USD 10日以内
(179件のレビュー)
9.3
A2Design

Hello, We’re preferred freelancers thus very reliable and we'd like to help you with these forms. See our skills at: [The administrator removed this message for encouraging communication outside Freelancer.com もっと

$500 USD 10日以内
(147件のレビュー)
8.8
Infenixwebs

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 もっと

$600 USD 14日以内
(290件のレビュー)
7.9
mituld

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

$463 USD 15日以内
(461件のレビュー)
8.2
swsindia

Hi, Please give me opportunity to work for you.I have expertise in website design and development. I have review your project description, I can Customize a 6 page form for medical website for you as per your もっと

$618 USD 5日以内
(846件のレビュー)
8.1
dinovoloder

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

$673 USD 10日以内
(92件のレビュー)
7.4
darkwind

Hello, I have a few questions: 1. You mentioned that the form will be 6 pages and the form to look like the form you attached. Is it 6 pages with each form like the one you attached? Or is it the form you attache もっと

$555 USD 14日以内
(283件のレビュー)
7.6
kishanlalyadav

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 もっと

$555 USD 6日以内
(456件のレビュー)
7.2
VnBestSolutions

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 !! もっと

$736 USD 10日以内
(220件のレビュー)
7.0
techwelfare

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 もっと

$522 USD 17日以内
(201件のレビュー)
7.3
developerhunk

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 もっと

$610 USD 21日以内
(107件のレビュー)
7.4
standarditech

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 もっと

$250 USD 10日以内
(38件のレビュー)
4.2
zeeshananjum295

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 もっと

$444 USD 10日以内
(10件のレビュー)
3.4
nicweb

Hi, Your form will be designed with attractive look and required functionalities. will have all the relevant mark-up. As being an interactive agency, We are specialized in Web Design, development, mobile app & ic もっと

$263 USD 5日以内
(6件のレビュー)
3.5
AlexeiiKozachuk

Предложение еще не подано

$333 USD 7日以内
(0件のレビュー)
0.0
llopez75

Our experience to make development web and also móbil for tablets (android and MAC)., We have strong to make html, css and PHP. I offer you to customize a 6 pages fom for medical $277. When a doctor finish to fillab もっと

$277 USD 15日以内
(0件のレビュー)
0.0
david6240

Hi, I'm a New Hampshire resident so I'm somewhat local. I'm a Web Developer whom is very capable of creating a fully functional form for your website. I don't believe it will take me a full 7 days but until I've seen t もっと

$500 USD 7日以内
(0件のレビュー)
0.0
LaVagueDesign

A proposal has not yet been provided

$555 USD 10日以内
(0件のレビュー)
0.0