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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:
( 11 reviews ) Kansas City, United States

Project ID: #16942718

93 freelancers are bidding on average $459 for this job

infoway

Greetings, Interested to work for you require. I have gone through your website but the design is breaking and menu are in the footer so it breaks the look and feel of your website. Can you come over to chat to d More

$755 USD in 20 days
(669 Reviews)
9.8
hits

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
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A2Design

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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RockStone435

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
(553 Reviews)
8.7
TheInnoVibes

Hello, We are a hard-working web-development company We can develop cross-browser, W3C compliant good quality professional websites. We have gone through your requirement and have done this kind of work in the past. More

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jxsarwar

Hello, I perfectly understood all your requirmeents. I can set up the backend of your website just according to your mentioned requirements. I will need some more information from your side. I would like to know if More

$750 USD in 15 days
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8.3
World515

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

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WebInfoSolutions

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
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Risalat1

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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siddhu1986

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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fullymagento

Hi, Please look at my corporate company profile at freelancer https://www.freelancer.com/u/fullymagento.html Carefully gone through your [login to view URL] have few queries so i request you to initiate chat so that More

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vpnsolution

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

$500 USD in 4 days
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ravichedwal

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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superwanchiu

Hello , How are you? I just saw your project description carefully. I am very interested in your project. I have rich experience in WordPress front-end and back-end. I am ready to start your project immediately. More

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