Appointment Request

<form action="https://myformconnect.io/f/YOUR_FORM_ID" method="POST">
  <input type="text" name="name" placeholder="Name" required>
  <input type="email" name="email" placeholder="Email" required>
  <input type="tel" name="phone" placeholder="Phone">
  <input type="date" name="preferred_date">
  <input type="time" name="preferred_time">
  <textarea name="reason" placeholder="Reason for visit"></textarea>
  <button type="submit">Request Appointment</button>
</form>