Doctor's Office Intake Forms
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This customer received 7 word template designs from 5 designers. They chose this word template design from JanuXart as the winning design.
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Word Template Design Brief
Hi,
I am looking to have the following form to be replicated and combined with the other files. I do not want this form merely digitized but a new form to be created but asking the same questions with our logo etc. Please add a section for allergies and medications taken. For the Sexually transmitted infections the choices are the ones listed plus Pelvic Inflammatory Disease, Syphilis, HIV, and Hepatitis.
Please use common sense. The example file provided is a print out of a digital intake form.
Industry/Entity Type
Medical
Font styles to use
Sans Serif
Look and feel
Each slider illustrates characteristics of the customer's brand and the style your logo design should communicate.
Elegant
Bold
Playful
Serious
Traditional
Modern
Personable
Professional
Feminine
Masculine
Colorful
Conservative
Economical
Upmarket
Requirements
Should not have
- Good format
Files
Download all files - 3.1 MBPDF
onpatient
Monday, September 26, 2022
PDF
HUG
Monday, September 26, 2022
PDF
HUGIC
Monday, September 26, 2022
PDF
HUG Patient Assitance Fund USE
Monday, September 26, 2022
ZIP
designcrowd_30552_27231292_3973194_sourcefile (3)
Wednesday, September 28, 2022
Payments
1st place
US$120