Complex form for determining ween dosages for kids placed under an indiced coma

I am a web designer and I responded to an add for a volunteer to create a website. Turns out it is not a website at all, but a complex form that would allow nurses and others working at a Miracle Network Children's Hospital to enter some information about the subject and receive the proper dosage and schedule for weening kids out of an induced coma. I am not a developer, but I do not want to have to let this project go. I am prepared to pay someone to get this done. The job will require creating the form in it's simplest form (I can handle the css later) and all additional components needed to make the form produce the desired outputs. I would prefer to have it run solely on Javascript, but if that is not possible, we will do what needs to be done. The inputs are pretty general and the only variable that would require the most consideration is the weight of the patient. The weight would determine the dose amounts. First, the user would enter what type of drip was used to induce the coma. There are three choices. Second, they would enter how many units per hour was used. Next would be the weight of the patient. The last input would be the date since the output schedule would start with that date and give the required dosages for the next six days. The output would format as follows: Day(starts with day 0) - Medication to be used - amount - how long There is a table that helps to determine these amounts which I will post to give you an idea of what I am looking at. This program will save nurses and doctors valuable time as well eliminate mis calculations that could do severe harm to patients. That is why I don't want to let this gig go. A hospital just like this saved my little girl's life and if I can help them in any way, I will. If there are any Extra Lifer's out there, pass the word on this project.