Good morning, this should be a relatively easy project. I forgot to include our logo which I would love to have put somewhere on the document but basically this is intake paperwork that could be either printed at the doctors office or digitized and filled out.

Hi, I would also like the following questions added

Do You or Someone You Have Sex With Inject Drugs? Yes or No Answer
Do You Use Street Drugs (We Do Not Judge. This Is For Us to Be Able to Provide You With the Best Possible Healthcare)
Check Box Format: Cocaine,Meth, Heroin, Pills, MDMA,
Do You Have Sex With Anonymous Partners?

I NEED THIS ASAP

Ideally these document would also be a fillable PDF.