Create PDF: Exchange of Information

I need to take some forms and re-create them as PDF forms in two formats. One format will be an unlocked version that I can access and make changes to as my business needs change or grow. The other format will be a locked version of the form that can be emailed to clients to that they can fill in but cannot change the form itself.

Exchange of information form Counseling Claremont: one version should be for Counseling Claremont. This form should be identical to the form being uploaded here.

Exchange of information form Bright Road Recovery: second version of this form should be identical to the first, except for: 1) contact info at the top should read Bright Road Recovery/428 Harrison Ave #101/Claremont, CA 91711/Phone 909-994-1436 Fax 909-624-7002; 2) color should be different than Claremont Counseling form; 3) First line of text in the body of the form changed to: I, the above named client, authorize Bright Road Recovery (and its staff) and the following providers and/or individuals to exchange information about my treatment.

Skills: PDF

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About the Employer:
( 7 reviews ) Claremont, United States

Project ID: #6428672

Awarded to:


I am a PDF professional and I will complete your job within a very short time. You will be able to edit the 1st pdf while your customers will not be able to edit the 2nd pdf apart from adding data. I have done several More

$25 USD in 1 day
(1 Review)

3 freelancers are bidding on average $22 for this job


Hello...Would you can just click on discuss button and start chat with me..Would you like,Discuss project with [login to view URL] can negotiate about price,time and work. ... Let me do it......I am software engineer....Thank you..

$34 USD in 0 days
(16 Reviews)

Dear Sir, I read carefully your project description and understand your requirements. I have done couple of similar projects successfully like yours one. I am here only for Graphics & Illustration related works. So More

$30 USD in 1 day
(6 Reviews)

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$10 USD in 1 day
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