Đang Thực Hiện

SImple updates to Website

need to update:

On the "Online agreement" can we please add the items below the "telephone" "email" fields so that they can be filled in by potential members? it will also help us process orders quickly. We can leave the username and attachment section the way it is. We will enter data manually for our members.

1. Front end

Date of Birth:

Street Address:

City"

Zip Code:

CA. Drivers Lic#:

Patient ID Number or Recommendation Number:

Recommendation Issue Date:

Recommendation Expiration Date:

Doctor's Name:

Doctor's License Number:

Doctor's Phone Number:

Doctor's Website:

2.

Backend:

-- what is the correct format for the field: "expires" we tried a few different ways to enter the dates but none seem to work.

-- The "verified" field and "active" fields do not work correctly.

When we click active yes it changes the

verified to NO, that is wrong.

-- "Expires" field needs to be set up for manual entry

-- What is the "bonus" field for?

Kĩ năng: HTML, PHP, Thiết kế trang web

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Về Bên Thuê:
( 148 nhận xét ) Half Moon Bay, United States

ID dự án: #1084622

35 freelancer đang chào giá trung bình $121 cho công việc này

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