Wordpress CMS Integration for Health Care Company

We need a form created that takes down the eligibility and can converts to medwatch’s uniformed eligibility excel spreadsheet…That way when someone signs up online, it goes straight to our admin wherein I don’t have to do data entry all day..

Lastly, I have also attached our Group Eligibility form, we will need this to be a downloadable/uploadable and or able to be edited/submitted, form on the website for the everyday consumer. These will be people that are not with a group, that we will place inside our iMD group or general public group. This way we can enroll individuals.

Here is the wordpress development link we our working on:

[login to view URL]

Skills: CSS, HTML, PHP, Website Design, WordPress

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About the Employer:
( 12 reviews ) Kansas City, United States

Project ID: #16942718

91 freelancers are bidding on average $464 for this job


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$755 USD in 20 days
(702 Reviews)

We have delivered many Wordpress sites. I have studied your site and seen the form [login to view URL] Do we have to code this to save data in database? "converts to medwatch’s unifo More

$250 USD in 4 days
(985 Reviews)

I have read details. As far as I am getting you, you have a website and want to add some functions to it. You have given a form, and you want to create the online. You want to send this to the database and entries s More

$300 USD in 10 days
(579 Reviews)

Hello, We are a team of 30+ developers based in Russia. We have been working with WordPress and its many plugins for ages. Our latest WP projects: [login to view URL] [login to view URL] [login to view URL] [login to view URL] More

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(147 Reviews)

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(905 Reviews)
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$555 USD in 10 days
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(319 Reviews)
$500 USD in 10 days
(177 Reviews)

Ready to work with you, could you please send me some more details about your project so we will estimate it accordingly....

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(439 Reviews)

Hello I have rich experience with WordPress and Website Development actually. If you work with me, you will get perfect result. please contact me so that i can start right now. please check my profile. https:// More

$555 USD in 10 days
(381 Reviews)

Can u please explain more about the last field Signature? I am assuming that there will be 2 roles in the system, Admin and End User. Is that correct? Can u please explain about the attached form upload functionality More

$555 USD in 7 days
(212 Reviews)
$555 USD in 10 days
(261 Reviews)

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(84 Reviews)
$555 USD in 10 days
(31 Reviews)

Hello Sir/Mam, I have vast experience & very good knowledge of web designing & coding have developed many websites in WordPress. Once you chat I will create & integrate form for you as you required. Client's s More

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(106 Reviews)

Hi, Experienced Web Developer with years of experience in Wordpress/PHP/MySQL. I can help you with your Wordpress forms and I can integrate them for you in good time.. Looking forward to hearing from you.. More

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(427 Reviews)

Hi, we have already built forms similar to the one which you are looking for. We have similar work experience and we would like assist you in this project for create form. Regarding this job we can discuss over cha More

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(232 Reviews)

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(121 Reviews)

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$500 USD in 10 days
(160 Reviews)