Electronic signature California Healthcare / Medical Emergency Contact Form Online

When a client enters information (such as a password) into the online form on , the information is encrypted so the client cannot see it. An authorized representative for the client, called a "Doe Representative," must enter the information into the "Signature" field to complete the signature.

You can use this page to view a pdf and print it at home. Clicking the green 'print' button will print the document in the default colour scheme - the default is grey for most documents. A few may have a colour icon or logo. You can also use the 'print' icon to print the document in black-and-white format. To choose the colour scheme for your document - select the 'pdf colour scheme' drop-down list on the left. Then, click in the colour that you wish to use to print your document. You can choose from the following colour schemes: Black-and-white (B&W) : This colour scheme uses only black-scale images to simulate the original colour printing process. It is a great way to practise printing out colour documents, without worrying about using different colours in your print. : This colour scheme uses only black-scale images to simulate the original colour printing process. It is a great way to practise printing out colour documents, without worrying about using different colours in your print. Black and white (B&W-G) : This colour scheme mimics the black and white photographic process of old printers, using black and white photos on white background. : This colour scheme mimics the black and white photographic process of old printers, using black and white photos on white background. Cyan, Magenta and Yellow : This colour scheme uses cyan, magenta and yellow (CMYK) colour spaces to produce rich colour images that are easy to distinguish from each other in print. If you're...

A: If your font is not listed, you can use a "b". For example, to use the font "Gill Sans", do this: c:gill:font("Gill Sans", b:font("Courier New")) When you are ready to use your font, do this: s:add(c:gill:font("Gill Sans", b:font("Courier New"), font_size:20)) How do I add a text box to a form? A: This is the basic method: Add the text box in the form: c:form:textbox("How many people are in your department? ") Add the text box to the form: s:add(c:form:textbox("How many people are in your department? ", b:font("Courier New")) To make sure that the form textbox is not empty when it is created, use the method: c:form:textbox("How many people are in your department? ") How do I add a text box and buttons to a form? The method used here is the same method used for creating the form buttons. Simply replace "c:form:textbox" with "c:form:btn" and replace "btn" with "button" when you create the form element. Note: To add a text box with the font "Courier New", you would do this: c:form:textbox("How many people are in your department? ") To add a text box and buttons to a form, add your own styles in your c:form style element. How do I insert a text box to a form and make the text visible? If your document has an element with the text box class, you can insert the text box and then make the text visible by using this method: c:form:textbox("How many people are in your department? ") { text_visible => 1 } 1 2 3 4 c : form : textbox ( "How many people are in y...