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Build a Website

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.

Keahlian Desain Grafis, HTML, PHP, Ruby on Rails, Desain Situs Web

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Tentang Pemberi kerja:
( 0 ulasan ) United States

ID Proyek: #11718711

85 freelancer menawar pada rata-rata $1288 untuk pekerjaan ini

kchg

*** TOP 5th on Freelancer*** Hello. I am a senior Ruby on Rails developer who have experiences for 7 years. And I have strong skills with Frontend(HTML/CSS, Javascript/jQuery), APIs, PostgreSQL/MySQL, AWS/Heroku and Lagi

$1500 USD dalam 20 hari
(425 Ulasan)
9.5
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 Lagi

$1469 USD dalam 20 hari
(156 Ulasan)
9.3
leadconcept

Hi there, I have read everything in your project description and also visited this link [url removed, login to view], so can you please provide me user/password, I can then check inside functionality. This ini Lagi

$3888 USD dalam 40 hari
(102 Ulasan)
9.0
arhamsoftltd

Greetings, I am glad to offer you my services , I have gone through the complete job [url removed, login to view] share further details so I can start working on it. I am very proficient with website & mobile apps design and Lagi

$2631 USD dalam 45 hari
(144 Ulasan)
8.6
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 dalam 20 hari
(481 Ulasan)
8.5
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/[url removed, login to view] Lagi

$1546 USD dalam 15 hari
(124 Ulasan)
8.7
r4rony

SIMILAR WORK DONE [url removed, login to view] [url removed, login to view] [url removed, login to view] Hope to hear you soon Thanks Akansha

$1159 USD dalam 20 hari
(175 Ulasan)
8.3
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, Lagi

$1578 USD dalam 21 hari
(252 Ulasan)
8.4
SRajpurohit

Hello there, Greetings! We have gone through the complete job description and are pretty sure to assist you with this task as we are expertise team of developers & designers working on Web & App Development/Desig Lagi

$1500 USD dalam 25 hari
(284 Ulasan)
8.4
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 Lagi

$1500 USD dalam 20 hari
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shivmirthyusl

ABOUT US "IT FLEX SOLUTIONS has focused exclusively on the Web Development/Designing projects with 8+ years of service. Our Web Development/Designing expertise has helped clients to create e-commerce, social networkin Lagi

$1111 USD dalam 20 hari
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8.1
gkws

Dear Hiring Manager, Greetings from GKWS !! I wish your day is going well and all is good with you. I would like to discuss the project in details before confirming the bid, kindly open chat with me when you are av Lagi

$1237 USD dalam 20 hari
(352 Ulasan)
7.9
conceptsview

HI, Please check some completed projects, then you can easily understand my work ability & quality. [url removed, login to view] [url removed, login to view] [url removed, login to view] http://www.royalaroma. Lagi

$1250 USD dalam 20 hari
(211 Ulasan)
7.7
extreamcode

Hi, I can assist you with this project. Here is a sampling of the few of my work contained at my portfolio: [url removed, login to view] Please reply back so we can discuss. Regards, DT

$1250 USD dalam 20 hari
(75 Ulasan)
7.6
vyasrohan

Hello! I am Rohan Vyas, having a lot of experience in Web and Mobile Development and Design, with a team of 125+ people. Our customer service and Quality of work are strong, many clients are delighted with our se Lagi

$1159 USD dalam 20 hari
(160 Ulasan)
7.5
biznsoft

WEB DEVELOPMENT EXPERT HERE Hi went through your description,My team is interested in your project and wish to apply for it. WHAT WE CAN DO: WE CAN CREATE A SEPARATE BRANDING FOR YOUR WEBSITE , WHICH Lagi

$750 USD dalam 7 hari
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7.2
Shopify

I want to discuss this project with you further, let me know the best suitable time for you to schedule the meeting, Feel free to message me at any time, i used to be online 14 hrs in a day on this website so probably Lagi

$1546 USD dalam 35 hari
(23 Ulasan)
7.1
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 Lagi

$1546 USD dalam 40 hari
(69 Ulasan)
7.4
workspaceit

Hello, I m Tahsinul Alam, completed Masters in Software Engineering now working as one of the project manager of Workspace Infotech, software/Outsourcing firm located in Dhaka, Bangladesh. We have 13 different team Lagi

$1250 USD dalam 20 hari
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7.4
mrinal981

Hello, I have read the attached files, current website link and have two questions as listed below:- => Which users can upload pdf file to whom admin will provide the access? => Which platform is your current we Lagi

$1111 USD dalam 15 hari
(50 Ulasan)
7.4