Website design with a form filled and e-signed

CLOSED
Bids
76
Avg Bid (USD)
$2504
Project Budget (USD)
$1500 - $3000

Project Description:
I am looking for a web designer to convert a medical authorization form into a website to be made.
The form is an authorization linked between doctors and vendors.
The site will need doctors to login and create a login using their license number and npi number and be able to electronically sign the form.
The form will then be able to be pulled up and printed by a vendor that is assigned to that form.

Skills required:
Graphic Design, HTML, PHP, Website Design
About the employer:
Verified
Public Clarification Board
Bids are hidden by the project creator. Log in as the employer to view bids or to bid on this project.
You will not be able to bid on this project if you are not qualified in one of the job categories. To see your qualifications click here.


$ 4948
in 60 days
$ 2577
in 30 days
$ 3092
in 30 days
$ 3092
in 30 days
$ 2319
in 30 days
$ 2577
in 25 days
$ 2488
in 48 days
$ 2680
in 15 days
$ 2061
in 20 days
$ 2947
in 30 days