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Innovative Cosmetic Injectables Form

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Innovative Cosmetic Injectables Form

  • Sydney, Australia View on Map
  • Post Date : February 13, 2024
  • Apply Before : October 21, 2025
  • Salary: $30 - $250
  • 1 Click(s)
  • View(s) 73
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Job Detail

  • Job ID 193457

Job Description

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I am seeking an experienced web developer to create an online form tailored to the needs of our cosmetic clinic. Itโ€™s crucial that the form is user-friendly, secure, and integrates smoothly with our existing website. Here's what we need:

Key Components:

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– **Treatment Options**: Include checkboxes for Botox, Dermal Fillers, Bio Stimulator Injections, Hyalase, and PDO Threads. Each option should allow users to explore more information along with possible adverse reactions and side effects

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**Information Collection**: For each treatment selected, the form should prompt users list current medications and medical history, indicate if they've received tetanus or whooping cough vaccines in the last 6 weeks, and state if they are pregnant or breastfeeding.

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– **Contact Information**: The form must include fields for patients to provide their name, phone number, Date of birth, address and email address securely.

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-**Medication Script**: The form must include a field that is a script with name of medication/ dosage/ treatment area, with side effects and adverse reaction. Then a place for Patient to sign electronically and also place for doctor to sign electronically.

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Ideal Skills and Experience:

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– **Web Development & Design**: You should have a strong background in creating interactive and secure web forms, preferably with experience in the healthcare or cosmetic industry.

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– **Security**: Implementing data protection measures to ensure patient confidentiality is essential.

– **User Experience Design**: The form should be intuitive and easy to navigate for a diverse range of users.

– **Integration Skills**: Ability to seamlessly integrate the form into our existing website, with a focus on maintaining site performance and aesthetics.

The successful candidate will have a proven track record of delivering similar projects on time and within budget. Please provide examples of your work that demonstrate your ability to meet our project requirements.

PHP HTML MySQL Website Design Graphic Design

Project ID: #37760871

About the project

26 proposals Open for bidding Remote project Active 8 mins ago

Innovative Cosmetic Injectables Form

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