You will get jane app practiceq tebra health emr epic ehr systems hipaa compliant forms
Top Rated
Top Rated
Project details
I KNOW WHAT YOU NEED AND I CAN GET IT DONE WITH FAST TURNAROUND
I specialize in building HIPAA-compliant forms and automated systems for healthcare providers using tools like Jotform and other secure platforms.
š My Services:
ā HIPAA-compliant medical forms & surveys
ā Patient intake & onboarding systems
ā EHR/EMR workflow automation
ā Integration support for platforms like Jane App, PracticeQ, Tebra, and more
ā Secure data collection and structured form setup
ā Clean, mobile-friendly design for better user experience
I specialize in building HIPAA-compliant forms and automated systems for healthcare providers using tools like Jotform and other secure platforms.
š My Services:
ā HIPAA-compliant medical forms & surveys
ā Patient intake & onboarding systems
ā EHR/EMR workflow automation
ā Integration support for platforms like Jane App, PracticeQ, Tebra, and more
ā Secure data collection and structured form setup
ā Clean, mobile-friendly design for better user experience
Programming Languages
PHP, HTML & CSS, JavaScriptCoding Expertise
Performance Optimization, Security, DesignWhat's included
| Service Tiers |
Starter
$30
|
Standard
$80
|
Advanced
$100
|
|---|---|---|---|
| Delivery Time | 1 day | 2 days | 3 days |
Number of Revisions | 1 | 2 | 3 |
Number of Pages | 1 | 2 | 2 |
Design Customization | |||
Content Upload | - | ||
Responsive Design | - | - | |
Source Code | - | - | - |
29 reviews
(25)
(4)
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This project doesn't have any reviews.
DB
Derin B.
Jun 4, 2026
Jotform specialist
Ayomide was fast flexible and had a thorough grasp of the project requirements.
She handled revisions and updates spedily.
Highly recommended member of Upwork community.
She handled revisions and updates spedily.
Highly recommended member of Upwork community.
NB
Norma B.
May 24, 2026
jot form form
fantastic
NB
Norma B.
Apr 22, 2026
Interactive quiz
I asked for a quiz and it looks beautiful, with a short amount of time given highly recommend!
CS
Charlie S.
Apr 1, 2026
Complete logic and calculations for fillout form and deliver working quiz
BH
Bibiana H.
Mar 30, 2026
Jotform Redesign
Thank you, very patient.
About Ayomide
Jotform Outgrow Typeform ai Heyflow Alchemer quiz form calculator
91%
Job Success
Lagos, NigeriaĀ - 9:02 am local time
Iām Sadiku Ayomide ā an Online Survey & Form Automation Specialist with 4+ years of experience creating surveys, calculators, forms, and quizzes for businesses of all sizes and across industries.
šÆ What I Can Do for You:
āļø Custom Survey & Form Design (Lead Gen, Feedback, Quizzes, ROI Calculators)
āļø Conditional Logic, Branching & Scoring
āļø PDF to Smart Form Conversion
āļø CRM, Email & Payment Integrations (Zapier, Stripe, Klaviyo, etc.)
āļø Approval Workflows & Notification Setup
āļø Mobile-Responsive, Branded Designs
āļø Data Export (PDF, Excel, CSV)
āļø Jotform e-signatures & App Creation
š Platforms I Work With:
š Jotform
š Typeform
š Outgrow
š Heyflow
š Fillout
š SurveyMonkey
š WPForms
š Google Forms
š LimeSurvey
š Involve.me
š Alchemer
š Jotform Outgrow Typeform Logic Google form respondent heyflow tutor
š Quizify
š Scoreapp
š QuestionPro & more
ā Why Clients Choose Me:
I focus on results, not just forms ā whether thatās more leads, deeper insights, or smoother processes.
I bring expertise across multiple industries (coaches, SaaS startups, e-commerce, agencies, and enterprises).
I deliver clean, branded, and user-friendly solutionsāfast.
I also work with international clients ā whether you call it an online survey (sondage, encuesta, Umfrage, č°ę„) or an online form (formulaire, formulario, Formular, ćć©ć¼ć ),
Online Survey / Online Form | Sondage en ligne / Formulaire en ligne | Encuesta en lĆnea / Formulario en lĆnea | Online-Umfrage / Online-Formular | Sondaggio online / Modulo online | Pesquisa online / FormulĆ”rio online | Online enquĆŖte / Online formulier | Onlineundersƶkning / OnlineformulƤr | Online undersĆøgelse / Online formular | Nettsurvey / Nettskjema | Verkkokysely / Verkkolomake | Ankieta online / Formularz online | ĆevrimiƧi anket / ĆevrimiƧi form | Ų§Ų³ŲŖŲ·ŁŲ§Ų¹ Ų¹ŲØŲ± Ų§ŁŲ„ŁŲŖŲ±ŁŲŖ / ŁŁ ŁŲ°Ų¬ Ų¹ŲØŲ± Ų§ŁŲ„ŁŲŖŲ±ŁŲŖ | åØēŗæč°ę„ / åØēŗæč”Øå | ćŖć³ć©ć¤ć³čŖæę» / ćŖć³ć©ć¤ć³ćć©ć¼ć | ģØė¼ģø ģ¤ė¬øģ”°ģ¬ / ģØė¼ģø ģģ
I can build it for you
š© Want to get started? Just drop me a message, and letās turn your form or survey idea into a growth tool š
Steps for completing your project
After purchasing the project, send requirements so Ayomide can start the project.
Delivery time starts when Ayomide receives requirements from you.
Ayomide works on your project following the steps below.
Revisions may occur after the delivery date.
Discovery & Requirements Gathering
Discuss your healthcare workflow, patient intake needs, and data security requirements. Identify which forms, surveys, or EHR/EMR systems need automation. Determine necessary integrations (e.g., Jane App, PracticeQ, Tebra).
Form Design & Setup
Build HIPAA-compliant forms using Jotform or other secure platforms. Apply clean, mobile-friendly design to improve patient experience. Configure required fields, conditional logic, and secure file uploads.