Garnet Healthcare Form

Garnet Healthcare Form

A professional patient intake form for healthcare platforms.

Features

• Organized form sections — Personal info, medical concern, message
• Trust badges — HIPAA, SSL, and compliance indicators
• Clinical palette — Clean whites with garnet red accents
• Visual radio group — Styled concern type selector
• Submit CTA — Pulse animation for emphasis
• Dark/light mode — Slate dark variant
• Responsive — Centered max-width layout

Dependencies

• @remixicon/react — Medical and security icons
• @/components/ui/card — Shadcn Card
• @/components/ui/button — Shadcn Button
• @/components/ui/badge — Shadcn Badge
• @/components/ui/separator — Shadcn Separator

Customization

• Edit form fields and labels
• Adjust garnet accent colors
• Modify trust badge content