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Description

I am looking for a developer to work on a project for a healthcare startup. We have an existing web app and I need someone to modify existing code for front end/UI changes. It is like a turbotax that steps users through making legal healthcare forms.

Specific needs:

I need someone to modify what I have already -- a website that generates a form for the state of Ohio. I need to replicate the code but have it generate a form for the state of North Carolina (if the user says he/she lives in North Carolina when putting in mailing address).

1. New Text/Remove Ohio text: See Attached - this is the new text that needs to be seen by the user

2. North Carolina PDF form generated - Attached is the new PDF form that needs to generated. As the user creates a profile and answers questions, this form gets populated. I attached the official PDF form and also one that is "annotated" with what should be "imprinted" on it by our program.

3. The PDF that is partially filled out will then needed to be printed. The user will have to sign the paper and UPLOAD it to their account. I need to create this PDF upload tool.

4. I need to know that the other functions of the website work

- people can share access to the PDF they uploaded

- the latest version of the profile is there (ex: if they uploaded a form, this is the latest version that is accessible)

To view what I am talking about: [url removed, login to view] (need to say you are from the state of Ohio to generate a form)

I would be interested in a potential long term relationship if this works goes well. There will be many further paid opportunities to work together.

Skills: Graphic Design, HTML, PHP, Ruby on Rails, Website Design

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Project ID: #11718711

87 freelancers are bidding on average $1276 for this job

meet2amitvw

Let's discuss more about project to finalize the proper scope with estimated cost and time so ping me over the freelancer chat.....I will share some demo as well for recent works if you want to check. You can also c More

$1469 USD in 20 days
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9.1
leadconcept

Hi there, I have read everything in your project description and also visited this link Staging.truenorthhealthcare.com, so can you please provide me user/password, I can then check inside functionality. This ini More

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kchg

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9.1
hikaruvn

Hello Sir,I just checked short description of project,I'm very interested to your project and sure give to you best quality of project,Can you please take short time to me for discuss about your project thanks

$1200 USD in 20 days
(444 Reviews)
8.4
SoftDevelopINC

Hello, I'm a web developer with over 7 years experience. I would like to discuss further this project. There are all my programming skills: *Front-end: - HTML, HTML5, JSON, REST API - JAVASCRIPT (Ajax, More

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8.2
r4rony

SIMILAR WORK DONE https://www.hellohealth.com/ https://www.practo.com/ http://beta.hospitalonnet.com/ Hope to hear you soon Thanks Akansha

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8.0
arhamsoftltd

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8.3
seekdeveloper

Hi, I have read your post and understood your requirement. I have great experience working on /PHP/MySQL/HTML5/jQuery/Laravel/Wordpress/Magento/Joomla/Drupal/Angular.JS/node.js/CSS3/Java/Python/Django/Javascrip More

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SRajpurohit

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shivmirthyusl

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extreamcode

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gkws

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prashushinde9

Hello, I understood the initial scope of this project. Although i want to discuss further this job in order to prepare the final concept for this project. After Complete discussion over the call or in chat, i wi More

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7.3
conceptsview

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templatesale

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a2ksoft

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neoglobal

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alifinteractive

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emizentech

Dear Client , Yes I have gone through your requirement and would like to know your project description is match for my skills. I'm working as a web developer since 5 years and I'm very good with UI as well. I'm read More

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workspaceit

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