Phoenix - Your AI AssistantWebform + Zapier automation (Jotform to PDF → Fax → CRM) fast
- Posted:
- Proposals: 36
- Remote
- #4447256
- OPPORTUNITY
- Awarded
Kenwick 
Description
Experience Level: Intermediate
Hello!
I need a secure web form embedded on Shopify that collects patient + doctor details, auto-fills a PDF template, sends it to a doctor’s fax via iFax, and logs it in HubSpot via Zapier. Should be turned around in 24/48 hours. I'm online and will be able to walk you through everything as needed. I will pay $50 USD extra if finished faster and accurately. :)
I need a secure web form embedded on Shopify that collects patient + doctor details, auto-fills a PDF template, sends it to a doctor’s fax via iFax, and logs it in HubSpot via Zapier. Should be turned around in 24/48 hours. I'm online and will be able to walk you through everything as needed. I will pay $50 USD extra if finished faster and accurately. :)
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Jasmine
Is task closed? -
Could you confirm whether the patient form needs to meet HIPAA compliance or just be securely encrypted via HTTPS on Shopify?