This is a new patients form I put together for a chiropractic clinic. Many of there clients are reporting difficulties inputing data into the fields. Oddly I am not having this problem. Also, I need to know how to get rid of that obnoxious display at the top. The one that lists SSN, CurrentDate, Name, Address, etc.
You can download the form at h.cimp.ly/form.zip or see it in action at http://www.crockettchiropractic.com/form.pdf
I assume you'll be using this form through the normal Acrobat workflow. Have you distributed the form yet? I'm asking since I do not see a Submit button in the form up at http://www.crockettchiropractic.com/form.pdf?
Please see if the Help article at http://help.adobe.com/en_US/Acrobat/9.0/Standard/WSB53E4545-865B-4e2e-9C87-C98847DE53AC.ht ml helps.