Do you have a plugin that can verify a patients status

I am building a site for a doctor that needs to have his staff enter the patients driver license number or DOB to determine if that patient is valid on not valid in their system. The link below shows a patient verification page like what I wanted to do. Does wpmudev have something like this or can you point my in the direction I need to go. I am a newbie to Wordpress and website building. Thanks for your help.