Builder Canvas

Open Preview in the navbar to view the phone experience.

Desktop Editor
RC

Patient Intake

Step 3 of 6: visit details

Reason for visit

Initial consultation
Initial consultation
Follow-up
Procedure review

Select one option from the dropdown list.

Preferred doctor

Dr. Rania Hassan
Initial consultation
Follow-up
Procedure review

Select one option from the dropdown list.

Attach previous reports

blood-test.pdf

Lets patients pick an available time.

Consent and signature

Signed with OTP verification

Captures consent with OTP verification.

Consultation payment

Shown as the payment call-to-action.

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