Projects Paper application forms, filled in and signed online
Paper application forms, filled in and signed online
Patients could complete and sign a form on the site, and get back an exact digital match of the official paper version.
- How long
- 2018
- My role
- DevelopmentSupport
- Kind of project
- New systemSmall project
What the business needed.
Dynamic Mobile Dentistry’s own brief was direct: "I want users to be able to submit/sign an online application without having to download and print it." Patients needed to fill out and sign an official dental application form on the website, using a mouse or a finger on mobile, and receive back a proper, signed digital copy that matched the paper form exactly.
What I did.
I hand-coded three digital templates that replicated the three official paper forms field for field, matching every text line, box and checkbox precisely, so the completed digital form would match the original paper document exactly when converted to PDF. Submitted data and signatures are captured and stored, then automatically inserted into the matching HTML template and converted to a signed PDF, which is emailed to the patient with a copy to admin.
What they got.
A way for patients to complete and sign an official-looking application entirely online, ending in a PDF that matched the original paper form precisely, with no printing, scanning or manual admin re-entry.
Screens from the build.
For your technical person
Stack: WordPress, PHP, MySQL, CSS. Three digital templates hand-coded to match three official paper application forms field-for-field. Signature capture on the form, stored with the submission. On submission, a hook inserts captured data row by row into the matching HTML template, which is then converted to PDF. Automated email delivery of the signed PDF to the patient and a copy to admin. Project size: small. Delivered 2018.
Related work.
The service behind this project
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