Preventive care
Routine exams, cleanings, fluoride, and recall scheduling.
Services
Placeholder content is intentionally clinic-safe and easy to replace with the real practice name, operating hours, service list, insurance copy, and staff details.
Cosmetic consults
Whitening, bonding, veneers, and treatment planning.
Emergency triage
Tooth pain, chipped teeth, swelling, and urgent reviews.
Appointment requests
Patients send preferred dates, concerns, and contact details.
Request An Appointment
The form validates required details and stores requests in the browser so the staff panel can be tested without a database.
Implementation Handoff
This slice is scoped for fast review first. The next implementation step would connect the same request schema to the clinic's preferred email, database, or scheduling tool.
Data contract
Each request has patient contact, visit type, preferred window, notes, status, and timestamp.
Admin workflow
Staff can filter, confirm, decline, export, and clear local test records.
Next wiring
Swap local storage for Supabase, Airtable, Google Sheets, email, or an existing scheduler.