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Responsive Appointment Request Form with Date & Time Picker (HTML, CSS, JS)

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This sleek, modern Appointment Request Form helps businesses collect bookings efficiently with a fully interactive calendar date picker and time slot selection UI — built using clean HTML, CSS, and vanilla JavaScript. The design is 100% responsive, making it work seamlessly across desktop, tablet, and mobile devices.

Whether you’re a developer building a service-based website or a freelancer creating custom appointment forms, this template is a perfect plug-and-play solution. No external libraries or frameworks required.

 

Key Features:

  • Interactive calendar with month/year selection

  • Dynamic time slot selector with active state

  • Full form for name, contact, address, and custom inputs

  • Next & previous day navigation for availability browsing

  • Responsive design — mobile & desktop optimized

  • Past dates are automatically disabled

  • Clean form structure with basic validation

  • Built using pure HTML, CSS, JS — no Bootstrap or jQuery

 

Use Cases:

  • Doctor / Dentist booking forms

  • Salon or Spa appointment systems

  • Coaching or Consulting service schedulers

  • Freelance or Portfolio client intake forms

  • Rental or equipment booking interfaces

  • SaaS product scheduling modules

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