Registration Form Builder
Add, remove, and manage the fields for the patient and doctor registration form.

Current Form Questions

Full Name

Type: text | Required

Patient
Radiologist
Radiologic Technologist
Radiology Staff

Email Address

Type: text | Required

Patient
Radiologist
Radiologic Technologist
Radiology Staff

Date of Birth

Type: text | Required

Patient

Doctor's Certificate

Type: file | Required

Radiologist

Add New Question