Select this link. This is a .pdf version of a standardized form I designed in MS Word which included interactive features, such as text fields, drop-down menus to populate fields, and checkboxes. The interactive Word features are not included in this .pdf. This form is similar to hundreds of forms I designed, updated, and maintained for Argus Health Systems. In this example, instead of identifying a customer, I substituted “Nothing” for the company name.