---
title: Dental Appointment Request
product: PDF Generator
description: Get a printable dental appointment request form in PDF. Create editable or prefilled patient request forms for your clinic using SurveyJS PDF Generator.
framework: Angular
source: https://surveyjs.io/pdf-generator/examples/pdf-healthcare-dental-appointment-request-template/angular
index: https://surveyjs.io/pdf-generator/examples/overview.md
---

# Dental Appointment Request (Angular)

## Files

### `src/app/components/json.ts`

```ts
export const json = {
  "title": "Dental Appointment Request",
  "description": "The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.",
  "pages": [
    {
      "name": "page-one",
      "elements": [
        {
          "type": "panel",
          "name": "personal",
          "title": "Personal Information",
          "questionTitleWidth": "170px",
          "questionTitleLocation": "left",
          "elements": [
            {
              "type": "text",
              "name": "first-name",
              "title": "First name",
              "isRequired": true
            },
            {
              "type": "text",
              "name": "middle-name",
              "title": "Middle name"
            },
            {
              "type": "text",
              "name": "last-name",
              "title": "Last name",
              "isRequired": true
            },
            {
              "type": "text",
              "name": "email",
              "title": "Email address",
              "isRequired": true,
              "inputType": "email",
              "autocomplete": "email",
              "placeholder": "example@gmail.com"
            },
            {
              "type": "text",
              "name": "phone",
              "title": "Contact phone",
              "isRequired": true,
              "inputType": "tel",
              "maskType": "pattern",
              "maskSettings": {
                "pattern": "+1(999) 999 999 99"
              }
            }
          ]
        },
        {
          "type": "boolean",
          "name": "first-visit",
          "title": "Is this your first visit to our clinic?"
        },
        {
          "type": "radiogroup",
          "name": "best-contact-times",
          "title": "Best Contact Times",
          "description": "If we need to reach, what would be the best time?",
          "choices": [
            {
              "value": "Morning",
              "text": "Morning (09:00-12:00)"
            },
            {
              "value": "Afternoon",
              "text": "Afternoon (12:00-17:00)"
            },
            {
              "value": "Evening",
              "text": "Evening (17:00-20:00)"
            }
          ]
        },
        {
          "type": "matrixdropdown",
          "name": "preferred-appointment-times",
          "title": "Preferred times(s) for an appointment?",
          "description": "Specify a preferred time for each day you selected",
          "columns": [
            {
              "name": "time",
              "title": "From",
              "cellType": "text",
              "inputType": "time",
              "min": "09:00",
              "max": "19:00"
            },
            {
              "name": "time-to",
              "title": "To",
              "cellType": "text",
              "inputType": "time"
            }
          ],
          "rows": [
            "Monday",
            "Tuesday",
            "Wednesday",
            "Thursday",
            "Friday",
            "Saturday"
          ],
          "allowAddRows": false,
          "allowRemoveRows": false
        },
        {
          "type": "boolean",
          "name": "insurance",
          "title": "Do you have dental insurance?",
          "isRequired": true
        },
        {
          "type": "panel",
          "name": "insurance-details",
          "title": "Insurance details",
          "description": "Complete the fields below corresponding to your dental insurance.",
          "elements": [
            {
              "type": "text",
              "name": "company-name",
              "title": "Company name"
            },
            {
              "type": "text",
              "name": "member-id",
              "startWithNewLine": false,
              "title": "Member ID"
            },
            {
              "type": "text",
              "name": "primary-policy-holder",
              "title": "Primary policy holder"
            },
            {
              "type": "text",
              "name": "date-of-birth",
              "startWithNewLine": false,
              "title": "Date of birth",
              "inputType": "date"
            }
          ]
        },
        {
          "type": "radiogroup",
          "name": "type-of-visit",
          "title": "Type of visit",
          "choices": [
            {
              "value": "checkup",
              "text": "Routine check-up and cleaning"
            },
            {
              "value": "emergency",
              "text": "Emergency"
            },
            {
              "value": "restorative",
              "text": "Restorative"
            }
          ]
        },
        {
          "type": "comment",
          "name": "describe-emergency",
          "title": "Describe your emergency (if applicable)",
          "maxLength": 200,
          "rows": 2,
          "autoGrow": true
        },
        {
          "type": "radiogroup",
          "name": "type-of-specialist",
          "title": "Which type of dental specialist are you looking to make an appointment with?",
          "choices": [
            "General Dentist",
            "Orthodontist",
            "Periodontist",
            "Endodontist",
            "Pediatric Dentist (Pedodontist)",
            "Prosthodontist",
            "Oral and Maxillofacial Surgeon"
          ],
          "colCount": 2
        }
      ]
    }
  ],
  "headerView": "advanced",
  "widthMode": "static",
  "width": "750px"
};
```

### `src/app/components/pdf.component.css`

```css
/* You can add your custom CSS here. */
```

### `src/app/components/pdf.component.html`

```html
<survey [model]="model"></survey>
```

### `src/app/components/pdf.component.ts`

```ts
import { Component, OnInit } from "@angular/core";
import { Model } from "survey-core";
import { SurveyPDF } from "survey-pdf";
import { json } from "./json";
import "./pdf.component.css";
import "survey-core/survey-core.min.css";

function createSurveyPdfModel (surveyModel) {
    const surveyPDF = new SurveyPDF(json);
    if (surveyModel) {
        surveyPDF.data = surveyModel.data;
        surveyPDF.locale = surveyModel.locale;
        
        
    }
    
    return surveyPDF;
}
function saveSurveyToPdf (filename, surveyModel) {
    const pdfDoc = createSurveyPdfModel(surveyModel);
    if (!pdfDoc) return;

    pdfDoc.save(filename);
}

const previewDiv = document.getElementById("pdf-preview");
const previewEmbed = document.getElementById("pdf-preview-frame");
let pdfBlobUrl;

function showPdfPreview(surveyModel) {
    if (!previewDiv || !previewEmbed) return;

    const pdfDoc = createSurveyPdfModel(surveyModel);
    if (!pdfDoc) return;

    pdfDoc.raw("blob").then((blob) => {
        if (pdfBlobUrl) {
            URL.revokeObjectURL(pdfBlobUrl);
        }
        pdfBlobUrl = URL.createObjectURL(blob);
        previewEmbed.setAttribute("src", pdfBlobUrl);
        previewDiv.style.display = "block";
    });
}

function previewPdf(surveyModel) {
    if (!previewDiv) return;

    if (previewDiv.style.display !== "none") {
        previewDiv.style.display = "none";
        return;
    }

    showPdfPreview(surveyModel);
}

@Component({
    // tslint:disable-next-line:component-selector
    selector: "component-survey",
    templateUrl: "./pdf.component.html",
    styleUrls: ["./pdf.component.css"]
})
export class SurveyPdfComponent implements OnInit {
    model: Model;
    ngOnInit() {
        const survey = new Model(json);
        survey.showCompleteButton = false;
        survey.navigationButtonsLocation = "topBottom";
        survey.addNavigationItem({
            id: "survey_save_as_file",
            title: "Download PDF",
            action: () => {
                saveSurveyToPdf("surveyResult.pdf", survey);
            }
        });
        survey.addNavigationItem({
            id: "survey_pdf_preview",
            title: "Preview PDF",
            visible: window.navigator.pdfViewerEnabled,
            action: () => {
                previewPdf(survey);
            }
        });
        this.model = survey;
    }
}
```

### `src/app/components/theme.ts`

```ts
export const themeJson = {};
```

### `src/app/app.component.css`

```css

```

### `src/app/app.component.html`

```html
<component-survey></component-survey>
```

### `src/app/app.component.ts`

```ts
import { Component } from "@angular/core";

@Component({
    selector: "app-root",
    templateUrl: "./app.component.html",
    styleUrls: ["./app.component.css"]
})
export class AppComponent {
    title = "CodeSandbox";
}
```

### `src/app/app.module.ts`

```ts
import { BrowserModule } from "@angular/platform-browser";
import { NgModule } from "@angular/core";

import { AppComponent } from "./app.component";
import { SurveyModule } from "survey-angular-ui";
import { SurveyPdfComponent } from "./components/pdf.component";

@NgModule({
    declarations: [AppComponent, SurveyPdfComponent],
    imports: [BrowserModule, SurveyModule],
    providers: [],
    bootstrap: [AppComponent]
})
export class AppModule { }
```

### `src/environments/environment.prod.ts`

```ts
export const environment = {
    production: true
};
```

### `src/environments/environment.ts`

```ts
// The file contents for the current environment will overwrite these during build.
// The build system defaults to the dev environment which uses `environment.ts`, but if you do
// `ng build --env=prod` then `environment.prod.ts` will be used instead.
// The list of which env maps to which file can be found in `.angular-cli.json`.

export const environment = {
    production: false
};
```

### `src/index.html`

```html
<div style="display: flex;">
    <div id="surveyElement" style="flex: 1 1 0%; height: 100%; min-width: 0;">
        <app-root></app-root>
    </div>
    <div id="pdf-preview" style="flex: 0.7 0.7 0%; display: none">
        <embed id="pdf-preview-frame" type="application/pdf" style="width:100%; height:100%;" />
    </div>
</div>
```

### `src/main.ts`

```ts
import { enableProdMode } from "@angular/core";
import { platformBrowserDynamic } from "@angular/platform-browser-dynamic";

import { AppModule } from "./app/app.module";
import { environment } from "./environments/environment";

if (environment.production) {
    enableProdMode();
}

platformBrowserDynamic()
    .bootstrapModule(AppModule)
    .catch(err => console.log(err));
```

### `src/polyfills.ts`

```ts
/**
 * This file includes polyfills needed by Angular and is loaded before the app.
 * You can add your own extra polyfills to this file.
 *
 * This file is divided into 2 sections:
 *   1. Browser polyfills. These are applied before loading ZoneJS and are sorted by browsers.
 *   2. Application imports. Files imported after ZoneJS that should be loaded before your main
 *      file.
 *
 * The current setup is for so-called "evergreen" browsers; the last versions of browsers that
 * automatically update themselves. This includes Safari >= 10, Chrome >= 55 (including Opera),
 * Edge >= 13 on the desktop, and iOS 10 and Chrome on mobile.
 *
 * Learn more in https://angular.io/docs/ts/latest/guide/browser-support.html
 */

/***************************************************************************************************
 * BROWSER POLYFILLS
 */

/** IE9, IE10 and IE11 requires all of the following polyfills. **/
// import 'core-js/es6/symbol';
// import 'core-js/es6/object';
// import 'core-js/es6/function';
// import 'core-js/es6/parse-int';
// import 'core-js/es6/parse-float';
// import 'core-js/es6/number';
// import 'core-js/es6/math';
// import 'core-js/es6/string';
// import 'core-js/es6/date';
// import 'core-js/es6/array';
// import 'core-js/es6/regexp';
// import 'core-js/es6/map';
// import 'core-js/es6/weak-map';
// import 'core-js/es6/set';

/** IE10 and IE11 requires the following for NgClass support on SVG elements */
// import 'classlist.js';  // Run `npm install classlist.js`.

/** IE10 and IE11 requires the following for the Reflect API. */
// import 'core-js/es6/reflect';

/** Evergreen browsers require these. **/
// Used for reflect-metadata in JIT. If you use AOT (and only Angular decorators), you can remove.
import "core-js/proposals/reflect-metadata";

/**
 * Required to support Web Animations `@angular/platform-browser/animations`.
 * Needed for: All but Chrome, Firefox and Opera. http://caniuse.com/#feat=web-animation
 **/
// import 'web-animations-js';  // Run `npm install web-animations-js`.

/***************************************************************************************************
 * Zone JS is required by default for Angular itself.
 */
import "zone.js/dist/zone"; // Included with Angular CLI.

/***************************************************************************************************
 * APPLICATION IMPORTS
 */
```

### `src/styles.css`

```css

```

### `src/typings.d.ts`

```ts
/* SystemJS module definition */
declare var module: NodeModule;
interface NodeModule {
    id: string;
}
```

### `.angular-cli.json`

```json
{
  "apps": [
    {
      "root": "src",
      "outDir": "dist",
      "assets": [ "assets", "favicon.ico" ],
      "index": "index.html",
      "main": "main.ts",
      "polyfills": "polyfills.ts",
      "prefix": "app",
      "styles": [ "styles.css" ],
      "scripts": [ ],
      "environmentSource": "environments/environment.ts",
      "environments": {
        "dev": "environments/environment.ts",
        "prod": "environments/environment.prod.ts"
      }
    }
  ]
}
```

### `_tsconfig.json`

```json
{
  "compileOnSave": false,
  "compilerOptions": {
    "baseUrl": "./",
    "outDir": "./dist/out-tsc",
    "sourceMap": true,
    "declaration": false,
    "allowSyntheticDefaultImports": true,
    "downlevelIteration": true,
    "experimentalDecorators": true,
    "moduleResolution": "node",
    "importHelpers": true,
    "resolveJsonModule": true,
    "target": "es2015",
    "module": "es2020",
    "lib": [
      "es2018",
      "dom"
    ]
  }
}
```

### `package.json`

```json
{
  "name": "surveyjs-angular",
  "scripts": {
    "ng": "ng",
    "start": "ng serve",
    "build": "ng build --prod",
    "test": "ng test",
    "lint": "ng lint",
    "e2e": "ng e2e"
  },
  "private": true,
  "dependencies": {
    "@angular/animations": "14.1.1",
    "@angular/cdk": "14.1.1",
    "@angular/common": "14.1.1",
    "@angular/compiler": "14.1.1",
    "@angular/core": "14.1.1",
    "@angular/forms": "14.1.1",
    "@angular/platform-browser": "14.1.1",
    "@angular/platform-browser-dynamic": "14.1.1",
    "@angular/router": "14.1.1",
    "core-js": "3.6.4",
    "rxjs": "6.5.4",
    "survey-core": "latest",
    "survey-angular-ui": "latest",
    "survey-pdf": "latest",
    "tslib": "1.13.0",
    "zone.js": "0.11.7"
  },
  "devDependencies": {
    "@angular/cli": "1.6.6",
    "@angular/compiler-cli": "^5.2.0",
    "@angular/language-service": "^5.2.0",
    "@types/core-js": "0.9.46",
    "@types/jasmine": "~2.8.3",
    "@types/jasminewd2": "~2.0.2",
    "@types/node": "~6.0.60",
    "codelyzer": "^4.0.1",
    "jasmine-core": "~2.8.0",
    "jasmine-spec-reporter": "~4.2.1",
    "karma": "~2.0.0",
    "karma-chrome-launcher": "~2.2.0",
    "karma-coverage-istanbul-reporter": "^1.2.1",
    "karma-jasmine": "~1.1.0",
    "karma-jasmine-html-reporter": "^0.2.2",
    "protractor": "~5.1.2",
    "ts-node": "~4.1.0",
    "tslint": "~5.9.1",
    "typescript": "3.9.7"
  },
  "keywords": [ "angular", "surveyjs" ],
  "description": "SurveyJS-Angular example project"
}
```

## Other Frameworks

- [React](https://surveyjs.io/pdf-generator/examples/pdf-healthcare-dental-appointment-request-template/reactjs.md)
- [Vue 3](https://surveyjs.io/pdf-generator/examples/pdf-healthcare-dental-appointment-request-template/vue3js.md)
- [jQuery](https://surveyjs.io/pdf-generator/examples/pdf-healthcare-dental-appointment-request-template/jquery.md)
- [Vanilla JS](https://surveyjs.io/pdf-generator/examples/pdf-healthcare-dental-appointment-request-template/vanillajs.md)