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1 | | -# Exercise-Medical-History-Intake-Form |
| 1 | +# Medical History Intake Form |
| 2 | + |
| 3 | +This project is a **Medical History Intake Form** built entirely in HTML and with one script in JavaScript. |
| 4 | +It was created as a personal exercise after learning about HTML forms. |
| 5 | + |
| 6 | +## ✨ **About** |
| 7 | + |
| 8 | +The form collects essential personal, contact, and medical information from a patient before a medical appointment. |
| 9 | +It demonstrates: |
| 10 | +- Use of different HTML form elements (text, textarea, radio, checkbox, date, email, etc.) |
| 11 | +- Form structure using `<fieldset>` and logical grouping |
| 12 | +- Basic client-side interactivity using JavaScript |
| 13 | + |
| 14 | +## 🏗️ **Features** |
| 15 | + |
| 16 | +- Collects personal details (name, date of birth, gender) |
| 17 | +- Contact details (address, phone, email) |
| 18 | +- Allergy selection (with “None” logic that deselects others) |
| 19 | +- Medication and known medical conditions |
| 20 | +- Emergency contact details |
| 21 | +- Preferred appointment date and signature area |
| 22 | +- User-friendly layout and required fields for critical info |
| 23 | + |
| 24 | +## 🚀 **How to Use** |
| 25 | + |
| 26 | +1. **Clone or download this repository.** |
| 27 | +2. Open the `index.html` file in your browser. |
| 28 | +3. Fill out the form and submit. |
| 29 | + |
| 30 | +*Note: The `action` attribute is currently set to `/action_page.php`. |
| 31 | +You can change this to your desired endpoint or integrate with a backend for real data collection.* |
| 32 | + |
| 33 | +## 🛠️ **Customization** |
| 34 | + |
| 35 | +- Add/remove input fields or questions to suit your workflow. |
| 36 | +- Style the form with CSS for a custom appearance. |
| 37 | +- Enhance JavaScript for more validation or interactivity. |
| 38 | + |
| 39 | +## 🎯 **Learning Goals** |
| 40 | + |
| 41 | +- Practice structuring accessible, user-friendly HTML forms |
| 42 | +- Gain experience with client-side form logic (e.g., managing exclusive checkboxes) |
| 43 | +- Understand form field requirements and data grouping |
| 44 | + |
| 45 | +## 📸 **Screenshot** |
| 46 | + |
| 47 | +_Add a screenshot of the form here (optional):_ |
2 | 48 |
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3 | | -After finishing Freecodecamp's curriculum on HTML forms I have built a few small projects, to practice what I have learned. |
4 | | -This is the first project and it is an imaginary Medical History Intake Form, in which all sort of fields and input types |
5 | | -are being shown. |
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