Patient feedback form sample software: Feedback contact form protected with captcha, Manage patient records and appointments, Medical Billing Software for Teams and more.
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Platforms:
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Homepage: http://www.webtoolbag.com/ |
| Type: Freeware |
Releases: Jul 12, 2007 |
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| Cost: $0.00US |
Developer: Zdravko Shishmanov |
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This is simple and powerfull feedback form protected with "Captcha ZDR" tool writen in PHP
This script is ready for integration in your pages. The FeedBack form using PHP, HTML, AJAX, JavaScript, CSS
You need just put your email address in $email_recipient to receive messages from that feedback and just need to include the script in your page.
Open post.php file and write your email for receiving messages from feedback form. |
More on patient feedback form sample
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Rating:
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Platforms:
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Homepage: http://www.med-e-forms.com |
| Type: Demo |
Releases: Aug 01, 2007 |
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| Cost: $99.00US |
Developer: Med-e-Forms |
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Computer Fillable Medical PDF Forms. Patient records can be typed, e-mailed, saved and stored on your computer. Easy access and retrieval. We can take your existing forms and make them electronic fillable forms. Your own company logo, address and phone #'s can be put on your forms at no additional charge. We can also take your existing forms and make them electronic fillable forms. E-mail us your existing form toady for a free, no hassle quote. |
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Rating:
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Platforms:
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Homepage: http://www.med-e-forms.com |
| Type: Demo |
Releases: Aug 01, 2007 |
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| Cost: $99.00US |
Developer: Med-e-Forms |
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Computer Fillable Medical PDF Forms. Patient records can be typed, e-mailed, saved and stored on your computer. Easy access and retrieval! We can take your existing forms and make them electronic fillable forms. Your own company logo, address and phone #'s can be put on your forms at no additional charge. We can also take your existing forms and make them electronic fillable forms. E-mail us your existing form toady for a free, no hassle quote. |
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Rating:
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Platforms:
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Homepage: http://www.med-e-forms.com |
| Type: Demo |
Releases: Aug 01, 2007 |
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| Cost: $99.00US |
Developer: Med-e-Forms |
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Computer Fillable Medical PDF Forms. Patient records can be typed, e-mailed, saved and stored on your computer. Easy access and retrieval! We can take your existing forms and make them electronic fillable forms. Your own company logo, address and phone #'s can be put on your forms at no additional charge. We can also take your existing forms and make them electronic fillable forms. E-mail us your existing form toady for a free, no hassle quote. |
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Rating:
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Platforms:
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Homepage: http://www.med-e-forms.com |
| Type: Demo |
Releases: Aug 01, 2007 |
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| Cost: $99.00US |
Developer: Med-e-Forms |
|
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Computer Fillable Medical PDF Forms. Patient records can be typed, e-mailed, saved and stored on your computer. Easy access and retrieval! We can take your existing forms and make them electronic fillable forms. Your own company logo, address and phone #'s can be put on your forms at no additional charge. We can also take your existing forms and make them electronic fillable forms. E-mail us your existing form toady for a free, no hassle quote. |
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Rating:
|
Platforms:
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Homepage: http://www.med-e-forms.com |
| Type: Demo |
Releases: Aug 01, 2007 |
|
| Cost: $99.00US |
Developer: Med-e-Forms |
|
|
Computer Fillable Medical PDF Forms. Patient records can be typed, e-mailed, saved and stored on your computer. Easy access and retrieval! We can take your existing forms and make them electronic fillable forms. Your own company logo, address and phone #'s can be put on your forms at no additional charge. We can also take your existing forms and make them electronic fillable forms. E-mail us your existing form toady for a free, no hassle quote. |
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Rating:
|
Platforms:
|
Homepage: http://www.med-e-forms.com |
| Type: Demo |
Releases: Aug 01, 2007 |
|
| Cost: $99.00US |
Developer: Med-e-Forms |
|
|
Computer Fillable Medical PDF Forms. Patient records can be typed, e-mailed, saved and stored on your computer. Easy access and retrieval! We can take your existing forms and make them electronic fillable forms. Your own company logo, address and phone #'s can be put on your forms at no additional charge. We can also take your existing forms and make them electronic fillable forms. E-mail us your existing form toady for a free, no hassle quote. |
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Rating:
|
Platforms:
|
Homepage: http://www.med-e-forms.com |
| Type: Demo |
Releases: Aug 01, 2007 |
|
| Cost: $99.00US |
Developer: Med-e-Forms |
|
|
Computer Fillable Medical PDF Forms. Patient records can be typed, e-mailed, saved and stored on your computer. Easy access and retrieval! We can take your existing forms and make them electronic fillable forms. Your own company logo, address and phone #'s can be put on your forms at no additional charge. We can also take your existing forms and make them electronic fillable forms. E-mail us your existing form toady for a free, no hassle quote. |
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Rating:
|
Platforms:
|
Homepage: http://www.med-e-forms.com |
| Type: Demo |
Releases: Aug 01, 2007 |
|
| Cost: $99.00US |
Developer: Med-e-Forms |
|
|
Computer Fillable Medical PDF Forms. Patient records can be typed, e-mailed, saved and stored on your computer. Easy access and retrieval! We can take your existing forms and make them electronic fillable forms. Your own company logo, address and phone #'s can be put on your forms at no additional charge. We can also take your existing forms and make them electronic fillable forms. E-mail us your existing form toady for a free, no hassle quote. |
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Rating:
|
Platforms:
|
Homepage: http://www.med-e-forms.com |
| Type: Demo |
Releases: Aug 01, 2007 |
|
| Cost: $99.00US |
Developer: Med-e-Forms |
|
|
Computer Fillable Medical PDF Forms. Patient records can be typed, e-mailed, saved and stored on your computer. Easy access and retrieval! We can take your existing forms and make them electronic fillable forms. Your own company logo, address and phone #'s can be put on your forms at no additional charge. We can also take your existing forms and make them electronic fillable forms. E-mail us your existing form toady for a free, no hassle quote. |
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