Medical forms creation

This project will involve creating 11 online forms for patients to fill out prior to their visit to the Doctor's office. For an example look at [url removed, login to view] Once a form is filled out it is stored in html format in a sequential flat file then the user fills out the next form, and so on, until the last form. After the last form is filled the forms will be sent either to the doctor's office fax machine or to an email address. I can send you example code of how I did the fax stuff. The majority of your time will be spent formatting the forms for the fax layout. I need two quotes: 1 to do it with the forms going to a fax server and one to do it with the forms just going to an email address. The forms can be found at [url removed, login to view] You will be working directly with the GC on this project and I will be in an advisory role only. This project can and most likely lead to much more work. NOTE:TEXAS provider is preferable, HOUSTON is most preferable, U.S.A. is a must!!

(1) I've already done this for another customer but would like to know if you have. Give me examples if you have them.
(2) Since you may be doing more work I'd like callable references.

Habilidades: Javascript, Perl

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Acerca do Empregador:
( 5 comentários ) Spring, United States

ID do Projeto: #163008

13 freelancers estão ofertando em média $1096 para esse trabalho


Hi, Plz check Pm. Thanks

$1500 USD in 10 dias
(39 Comentários)

Some site examples; [login to view URL], [login to view URL], [login to view URL], [login to view URL], [login to view URL], [login to view URL], [login to view URL], www.archcontrol.ugca.com. Others upon request. Ver Mais

$1000 USD in 15 dias
(9 Comentários)

Hi, bid is for to send forms in [login to view URL]

$1000 USD in 10 dias
(9 Comentários)

Please Refer PM

$1000 USD in 10 dias
(3 Comentários)

Hi..I am an Web Developer with good experience and knowledge in ASP.Net,C#,PHP,Javascript..i can do it..pls check pmb for details.

$1000 USD in 10 dias
(10 Comentários)

I can realise it, but I need some additional information regarding task and please check PM. I am developing a software similar to this one.

$1150 USD in 24 dias
(1 Comentário)

Dear Sir/Maam, We have gone through your requirements, and we can deliver your project within a span of 15 days. Please let me know if we can discuss this project online on skype or MSN.

$950 USD in 15 dias
(0 Comentários)

Please see PMB

$1200 USD in 20 dias
(0 Comentários)

Dear Sir, Please check the attachment We'd like to introduce ourselves as a leading Software Development Company of Kolkata, located at Salt Lake City, Sector – V, India. We have been in the industry for the la Mais

$1400 USD in 12 dias
(0 Comentários)

plz refer to PM

$900 USD in 7 dias
(0 Comentários)

The Breadth and Depth of our staffing capabilities enables us to leverage your IT investments, minimize your risk and deliver complete systems integration services and solutions addressed to your unique business needs Mais

$900 USD in 12 dias
(0 Comentários)

Hi, I know I am not from USA, but thought to explore the possibility. One of our Directors is a Medical Student of 5th year MBBS. Taking this as advantage; and keeping our vast company profile, pl inform if we can bid Mais

$1500 USD in 365 dias
(0 Comentários)

We can do this project within time; please see PMB for more details.

$750 USD in 15 dias
(0 Comentários)