Patient Intake

A medical patient intake form demonstrating conditional fields, field arrays, and validation rules.

Features demonstrated:

• Urgent symptom detection via arrayContains on a CheckboxGroup that auto-requires emergency contact fields
• Conditional insurance section (provider, member ID, group number) shown when the insurance toggle is enabled
• Field arrays for allergies (allergen, severity, reaction) and medications (name, dosage, frequency)
• Async validation with debounce on the insurance member ID field (insuranceIdLookup)
• Confirm input modal on date of birth and insurance ID fields

Try it in the playground

View in Storybook