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Update src/app/patient-intake/page.tsx

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bender
2026-04-28 17:01:18 +00:00
parent c8e674d931
commit 5a1e0a4b93
1 changed files with 13 additions and 20 deletions
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33
src/app/patient-intake/page.tsx
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@@ -1,36 +1,29 @@
"use client";
import { ThemeProvider } from "@/providers/themeProvider/ThemeProvider";
import NavbarLayoutFloatingInline from '@/components/navbar/NavbarLayoutFloatingInline';
import ContactCenter from '@/components/sections/contact/ContactCenter';
import ContactText from '@/components/sections/contact/ContactText';
import FooterBaseCard from '@/components/sections/footer/FooterBaseCard';
export default function PatientIntakePage() {
return (
<ThemeProvider>
<NavbarLayoutFloatingInline
navItems={[
{ name: "Home", id: "/" },
{ name: "Patient Forms", id: "/patient-intake" },
{ name: "Appointment", id: "/appointment" },
]}
<ThemeProvider defaultButtonVariant="text-stagger" defaultTextAnimation="reveal-blur" borderRadius="rounded" contentWidth="medium" sizing="medium" background="circleGradient" cardStyle="glass-elevated" primaryButtonStyle="gradient" secondaryButtonStyle="glass" headingFontWeight="normal">
<div id="nav" data-section="nav">
<NavbarLayoutFloatingInline
navItems={[{ name: "Home", id: "/" }, { name: "Patient Forms", id: "/patient-intake" }, { name: "Appointment", id: "/appointment" }]}
brandName="Forsyth Spinal"
/>
<div className="pt-32 pb-20 px-6 max-w-4xl mx-auto">
<h1 className="text-4xl font-bold mb-8">Patient Intake Form</h1>
<p className="text-lg mb-6">Please complete our comprehensive patient information form to help us better understand your health history and needs. This form is HIPAA compliant to ensure your privacy.</p>
<ContactCenter
tag="Secure Intake"
title="Patient Information"
description="Enter your details to get started with your digital patient file."
button={{ text: "Contact", href: "/contact" }}
/>
</div>
<div id="contact" data-section="contact">
<ContactText
text="Patient Intake Form"
background={{ variant: "plain" }}
useInvertedBackground={false}
/>
</div>
<FooterBaseCard
logoText="Forsyth Spinal"
columns={[
{ title: "Navigation", items: [{ label: "Home", href: "/" }, { label: "Patient Forms", href: "/patient-intake" }, { label: "Appointment", href: "/appointment" }] }
]}
columns={[{ title: "Navigation", items: [{ label: "Home", href: "/" }, { label: "Patient Forms", href: "/patient-intake" }, { label: "Appointment", href: "/appointment" }] }]}
/>
</ThemeProvider>
);