<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta content="width=device-width, initial-scale=1.0" name="viewport">
<title>Dr-Mariia</title>
<meta name="description" content="">
<meta name="keywords" content="">
<!-- Favicons -->
<link href="assets/img/favicon.png" rel="icon">
<link href="assets/img/apple-touch-icon.png" rel="apple-tFouch-icon">
<!-- Fonts -->
<link href="https://fonts.googleapis.com" rel="preconnect">
<link href="https://fonts.gstatic.com" rel="preconnect" crossorigin>
<link href="https://fonts.googleapis.com/css2?family=Roboto:ital,wght@0,100;0,300;0,400;0,500;0,700;0,900;1,100;1,300;1,400;1,500;1,700;1,900&family=Poppins:ital,wght@0,100;0,200;0,300;0,400;0,500;0,600;0,700;0,800;0,900;1,100;1,200;1,300;1,400;1,500;1,600;1,700;1,800;1,900&family=Raleway:ital,wght@0,100;0,200;0,300;0,400;0,500;0,600;0,700;0,800;0,900;1,100;1,200;1,300;1,400;1,500;1,600;1,700;1,800;1,900&display=swap" rel="stylesheet">
<!-- Vendor CSS Files -->
<link href="assets/vendor/bootstrap/css/bootstrap.min.css" rel="stylesheet">
<link href="assets/vendor/bootstrap-icons/bootstrap-icons.css" rel="stylesheet">
<link href="assets/vendor/aos/aos.css" rel="stylesheet">
<link href="assets/vendor/fontawesome-free/css/all.min.css" rel="stylesheet">
<link href="assets/vendor/glightbox/css/glightbox.min.css" rel="stylesheet">
<link href="assets/vendor/swiper/swiper-bundle.min.css" rel="stylesheet">
<!-- Main CSS File -->
<link href="assets/css/main.css" rel="stylesheet">
<!-- Appointment Section -->
<section id="appointment" class="appointment section">
<!-- Section Title -->
<div class="container section-title" data-aos="fade-up">
<h2>Appointment</h2>
<p>Online appointments only.</p>
</div><!-- End Section Title -->
<div class="container" data-aos="fade-up" data-aos-delay="100">
<form action="assets/forms/appointment.php" method="post" role="form" class="php-email-form">
<div class="row">
<div class="col-md-4 form-group">
<input type="text" name="name" class="form-control" id="name" placeholder="Your Name" required="">
</div>
<div class="col-md-4 form-group mt-3 mt-md-0">
<input type="email" class="form-control" name="email" id="email" placeholder="Your Email" required="">
</div>
<div class="col-md-4 form-group mt-3 mt-md-0">
<input type="tel" class="form-control" name="phone" id="phone" placeholder="Your Phone" required="">
</div>
</div>
<div class="row">
<div class="col-md-4 form-group mt-3">
<input type="datetime-local" name="date" class="form-control datepicker" id="date" placeholder="Appointment Date" required="">
</div>
<div class="col-md-4 form-group mt-3">
<select name="department" id="department" class="form-select" required="">
<option value="">Select Department</option>
<option value="Department 1">General Practitioner</option>
<option value="Department 2">Voll Specialist</option>
<option value="Department 3">Reflexologist</option>
</select>
</div>
<div class="col-md-4 form-group mt-3">
<select name="doctor" id="doctor" class="form-select" required="">
<option value="">Select Doctor</option>
<option value="Doctor 1">Dr Mariia Han</option>
<option value="Doctor 2">Liliana Kremenetskaya</option>
<!-- <option value="Doctor 3">Doctor 3</option> -->
</select>
</div>
</div>
<div class="form-group mt-3">
<textarea class="form-control" name="message" rows="5" placeholder="Message (Optional)"></textarea>
</div>
<div class="mt-3">
<div class="loading">Loading</div>
<div class="error-message"></div>
<div class="sent-message">Your appointment request has been sent successfully. Thank you!</div>
<div class="text-center"><button type="submit">Make an Appointment</button></div>
</div>
</form>
</div>
</section><!-- /Appointment Section -->
<!-- Scroll Top -->
<a href="#" id="scroll-top" class="scroll-top d-flex align-items-center justify-content-center"><i class="bi bi-arrow-up-short"></i></a>
<!-- Preloader -->
<div id="preloader"></div>
<!-- Vendor JS Files -->
<script src="assets/vendor/bootstrap/js/bootstrap.bundle.min.js"></script>
<script src="assets/vendor/php-email-form/validate.js"></script>
<script src="assets/vendor/aos/aos.js"></script>
<script src="assets/vendor/glightbox/js/glightbox.min.js"></script>
<script src="assets/vendor/purecounter/purecounter_vanilla.js"></script>
<script src="assets/vendor/swiper/swiper-bundle.min.js"></script>
<!-- Main JS File -->
<script src="assets/js/main.js"></script>
</body>
</html>