Visual Form Builder
Design and configure your medical forms with ease.
Add Step
Add Field
FORM STEPS
Step 1
0 fields
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FIELDS IN
STEP 1
Step 1
FIELD PROPERTIES
Field Label
Field Type
Text
Number
Date
Email
Phone
Text Area
Dropdown
Radio
Checkbox
Step
Step 1: Step 1
Placeholder
Required Field
Conditional Field
Show When Field
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Equals Value
This field will only show when the selected field has this value
Dropdown Options
Type options that will appear in the dropdown
Add Option
Update
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Field Label
*
This will appear as the field label
Field Type
Text Input
Number Input
Date Picker
Email
Phone
Text Area
Dropdown Select
Radio Buttons
Checkbox
Step
Step 1: Step 1
Placeholder Text (Optional)
Required field
Conditional field (shows based on logic)
Add New Step
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Step Name
*
Name of the new step
Step Description (Optional)
Brief description of what this step contains
Step Icon (Optional)
📋 Form
🏥 Hospital
💊 Medicine
🩺 Stethoscope
📝 Document
🩸 Blood
🧪 Test Tube
🧠 Brain
❤️ Heart
👨⚕️ Doctor
Icon to represent this step
Insert After Step
After Step 1 (Step 1)