Wordpress Contact Form needed

Completed Posted 2 years ago Paid on delivery
Completed Paid on delivery

I need someone to help me create a contact form for our WordPress website. What I need is the following:

- I need a field for a doctors name

- phone number

- patients name

- patients phone number

- and a field where an attachment (PDF, Doc etc) can be included.

- I also want the form to be protected so spammers can not spam us.

Any questions, please ask

WordPress PHP HTML CSS Website Design

Project ID: #31572987

About the project

74 proposals Remote project Active 2 years ago

Awarded to:

a4logic

Dear Sir/Madam, Thank you for this wonderful opportunity. I am keenly considering your job post including these skills.I am working as team leader in webwised it is software and web solution company we are operating More

$30 CAD in 1 day
(344 Reviews)
8.3

74 freelancers are bidding on average $25 for this job

niravvirani17

Hello sir hope have good day to you here to make form like you need i did many job here you can see my profile also when free let me knwo and we more discuss thank you payal

$30 CAD in 1 day
(1112 Reviews)
8.7
logintobusiness

Dear Sir/Mam, Greetings! I hope you are doing well. I have read the description of your project and understood that you are looking for someone to create contact form on your WordPress website. I would love to work More

$30 CAD in 3 days
(311 Reviews)
8.4
struggler1

will create contact form now,ready to start now thanks........................................................

$25 CAD in 1 day
(981 Reviews)
7.8
Dotcommakers

Hi there, First of all, thanks for providing me the opportunity to work with you. Let me do it. Will be done in few mins. Form data will be sent to your email and also will be saved in backend. Please, check my genera More

$20 CAD in 2 days
(567 Reviews)
7.6
yousufkhan39911

Hi, I will create contact form in wordpress. I can do it right now.

$27 CAD in 1 day
(791 Reviews)
7.3
komalshaikh92

Hello, I have gone through your job post and ready to assist you in this project. I can create a new WordPress website with high concerting pages based on your requirements. Please send me more information about this w More

$10 CAD in 3 days
(115 Reviews)
7.0
abugosia

Hello, I'm Abu Gosia. I'm interesting in your project very well. I'm good in C#, .Net Core, MVC, ASP.NET, Angular.js, Yii2, PHP, Laravel, Codeigneter, Wordpress, Open Cart. I m quite well experienced in these jobs. Let More

$50 CAD in 2 days
(298 Reviews)
7.1
shivam31

Dear Sir, Hope you are doing well. I understood your requirement about the need of contact form with the doctors, patients name, attachment and captcha . I have rich experience in WordPress, Magento, PHP, Website desig More

$20 CAD in 1 day
(248 Reviews)
6.6
anshwebs

Hello, I can set up a contact form with captcha to stop spam entries for you in next 2 hours. Please come over to chat and help me with the wp-admin details. Thank You Looking forward to deliver you the quality of wo More

$20 CAD in 1 day
(94 Reviews)
6.4
devupfree

Hi, Your contact form for your WordPress can be made. Please provide me the details a/c to your needs. I'm a pro graphic and web designer with 8+ years of experience and also expertise in HTML, WordPress, HTML, CSS, PH More

$20 CAD in 1 day
(69 Reviews)
6.3
b0b90

Hi I am an expert Wordpress developer with over 4 years of development experience. I can build you this simple form in one day Let's discuss it over chat Regards

$20 CAD in 1 day
(59 Reviews)
6.0
aswebsmart

Hi, I will create contact form on your website as per your requirement. I can start right away. I have been working on WordPress since last 8+ years. My previous reviews and portfolio are uploaded on my profile. Please More

$30 CAD in 1 day
(85 Reviews)
6.0
manum11

i can help you create a contact form for doctors as per the description where users will have option to upload file as well as protected from spammers.

$50 CAD in 1 day
(34 Reviews)
5.4
tresitem

Hi there, I will create contact form for you. I am available now for do it. I have 5 years of experience in this sector. I will give you a quality work according to your instruction. You can see my portfolio here https More

$15 CAD in 1 day
(99 Reviews)
5.4
aekpani

Hi There, Love to develop wordpress for you as per your brief.. Love to discuss and start work prompt delivery... Regards

$20 CAD in 1 day
(67 Reviews)
5.9
leminhkhanh2810

Hello, Please send me the details for each of the fields you will need for your contact form. I can help you to build it and place on any web pages you want. Thanks and regards, Khanh Le

$50 CAD in 1 day
(30 Reviews)
5.2
Techravity1

Greetings! As a professional designer & developer, I will definitely create a Contact form on your website, according to your mentioned fields. Please initiate a chat with me and share your login credentials I am pro More

$30 CAD in 5 days
(12 Reviews)
4.7
ahmadshk46

Hi SIr, I can create contact form with following fields: - field for a doctors name - phone number - patients name - patients phone number - field where an attachment (PDF, Doc etc) can be included. Form will be pro More

$30 CAD in 1 day
(34 Reviews)
4.7
manishdixit1

Hi, ✔️ WEB EXPERT HERE | RESPONSIVE | SEO FRIENDLY | I CAN START IMMEDIATELY ⭐I will add the contact form with recapthcha integration so no one can spam.⭐ I have determined that I could deliver your work properly at More

$20 CAD in 2 days
(27 Reviews)
4.4
kirilrupasov

Hi, I have had experience with Wordpress, and a lot of exposure to PHP/Web Design/CSS/HTML, so I can help you with creating this contact form. Kiril

$20 CAD in 1 day
(1 Review)
4.5