Medical form typeset

We have a scan of a medical form. We need the scan to be converted into a workable InDesign file. Preferably Creative Suite 3, Indesign.? This will be two pages on a standard 8.5 x 11 inch document. You will have to set type alone. There will be no logo design or much design work involved. ? This job is mostly recreating type on the form accurately.? ## Deliverables When you are looking at the form please note all the square boxes will need to be converted to lines. This will make the form easier to fill out by hand.