In Progress

Custom PHP/MySQL Form

Project is to create a 9 page secure custom form for a client in the medical services industry.

It will require expert knowledge of PHP, MySQL, AJAX and Java Scripting.

Requirements:

Previous development experience with transactional databases.

Excellent communication in English.

Ability to follow directions.

Great problem solving skills (we look for developers who work around problems and find creative solutions)

PHP/MySQL - You must be able to show at least 10 complex sites that you have designed.

Java Scripting - AJAX: You should have a very good working knowledge of both and be able to show examples.

The Project:

We are going to be integrating a form that will create a family medical profile into an existing website.

This is a very complex form (approximately 9 pages).

The form will initially be designed based on the standardized form and then modified to the specific needs of the client.

Each form will be reviewed for content and accuracy and then we will need to link the form to the existing database.

Ajax scripting will be used to prompt for additional data based on the response given within the form.

We will modify the searches for the site to reflect the additional data now available to the client.

Important:

We will be extremely focused on the aesthetics of the site, accuracy and of course security.

To let me know that you have completely read and understood my requirements, please ask me to "send the standard form"

Skills: AJAX, Javascript, MySQL, PHP

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About the Employer:
( 11 reviews ) Scottsdale, United States

Project ID: #821500

Awarded to:

phpgenin

[url removed, login to view] to do this [url removed, login to view] you eric

$300 USD in 5 days
(72 Reviews)
7.0

24 freelancers are bidding on average $454 for this job

SigmaVisual

We can help in your project, please check PMB and our ratings/reviews to get idea of our experience.

$250 USD in 7 days
(235 Reviews)
7.8
rockerstech

CHECK OUT REFERENCE WORK / PROPOSAL

$750 USD in 20 days
(80 Reviews)
7.7
neoconcepts

send the standard form, we are interested let's discuss.

$500 USD in 10 days
(110 Reviews)
7.2
SunFlowerBiz

Hi, please send the standard form. Please check PM for our portfolio. Regards,

$550 USD in 10 days
(70 Reviews)
7.1
netxpertindia

NetXpertIndia is a customer-specific service oriented company has got a Professional and creative team. We are the Professional Web Development Company having rich experience in Web design and development. Our team can More

$300 USD in 7 days
(80 Reviews)
6.7
yunuscse

Please check PM. Best Regards, Yunus Ali Khan

$500 USD in 5 days
(85 Reviews)
6.4
techsolsoftwares

kindly check pm.

$250 USD in 5 days
(50 Reviews)
5.7
phpplay

Please see inbox.

$600 USD in 7 days
(18 Reviews)
5.5
gkuizinas

I can show you much more than 10 websites I have developed. Shouldn't be the problem. I have experience developing PHP websites since 1999.

$700 USD in 10 days
(25 Reviews)
5.3
weblogicsoftware

Hello sir, we can assure you that we can do the required work for you with accuracy. See PMB for more details. Thanks

$500 USD in 12 days
(10 Reviews)
5.2
dexter1502

Hi I have very good exp. with php, mysql,ajax. Pls chk pmb for more details. Rgds, Dex

$250 USD in 7 days
(45 Reviews)
5.2
YashpalSingh123

php/mysql professional

$400 USD in 3 days
(13 Reviews)
4.8
stefanache

Hello, My plus is experience into medical domain! Thanks.

$750 USD in 30 days
(15 Reviews)
4.8
informationaccur

Hello, We are having great skills in design, xhtml, css, mysql, php, Joomla. We would like to offer our services to complete your website build. We will provide an xhtml, website using css, with a list of 15 companies More

$557 USD in 17 days
(3 Reviews)
4.2
jl5501

Hi This is perfect for me. I have done a lot of these multi-stage forms with ajax calls. Please see PM for details.

$600 USD in 5 days
(1 Review)
2.6
renphp

Hi, I am ready to complete this job. Please refer to PMB for further details. regards

$300 USD in 5 days
(3 Reviews)
2.2
autumn1992

Hi. Ready to start now. Please check PMB.

$400 USD in 3 days
(2 Reviews)
1.6
ankitsharmavicky

Hi, Please check PMB... Thanks

$400 USD in 10 days
(0 Reviews)
0.0
bdelancer

please check pm, i say "send the standard form"

$450 USD in 7 days
(0 Reviews)
0.0
OSMIC

Hello sir, Osmic Technologies Pvt.Ltd. have a team of Qualified and experienced Web Developers, Web Designers, Flash developers, SEO Specialists. We will develop a very professional and morden website as per your requi More

$500 USD in 7 days
(0 Reviews)
0.0