Modify the Signature Add-on to allow adding a background image?

We want to display an image of a person (front and back) and allow users to mark “areas of concern” i.e. pain, stiffness, numbness, etc. on a Client Intake Form. The Signature add-on seems to be the only one that records manual user “drawing” input, but it doesn’t support a background image. Does anyone know of a way to accomplish what we’re after, please?

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