How to go about this program?

Basically I am writing a program where the user enters a doctors name, bio, and selects a picture from their hard disk and this information needs to be saved into a .tiff file. I have the layout of the form and have the picturebox textbox, but I am unsure of how I would save it to a TIFF.

Here is what it needs to do.

http://www.pbase.com/image/23370604/original.jpg

http://www.pbase.com/image/23370605/original.jpg

Basically I would have the first image load with the program, and then when the user enters all the information, a copy of the image would be created and the text placed on the image. Then the user would save the file. Getting the text onto the image is what I am having trouble with.