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Healthcare Patient Intake Wizard

Patient registration with coverage and consent.

Full screen Try a theme

Choose the primitives library your project already uses. Both look the same: your theme, not the variant, controls colors, shape, type and motion.

About this feature

What it's for

  • Patient registration with coverage and consent.
  • Employee onboarding.
  • Student enrollment.

Includes

  • Multi step
  • Per step validation
  • Conditional rule
  • Consent step
  • Human review
  • Redirect on submit

Works with

  • Radix UI and Base UI primitives (pick the one your project uses)
  • React 19, Next.js App Router and Tailwind CSS 4, installed with the shadcn CLI
  • Your theme tokens, in light and dark mode
  • 1 template or blueprint on this site use it (below)

Install

Included with Agentic UI Kit (one-time license). Install needs your license key: see pricing · connect your project.

Agentic UI CLI
agentic-ui add healthcare-patient-intake-wizard
Installs through shadcn and adapts the component to your design tokens.
shadcn CLI
npx shadcn@4.17.0 add @agentic-ui/healthcare-patient-intake-wizard

Used in

Type
Feature
Variants
Radix UI and Base UI
Themes
Light and dark
Widths
Preview it at desktop, tablet and mobile widths above.
Sample data
Ships with sample data in its own files; replace it with your own.