diff --git a/layouts/shortcodes/health-form.html b/layouts/shortcodes/health-form.html
index 3fd6ff4..c9da5fd 100644
--- a/layouts/shortcodes/health-form.html
+++ b/layouts/shortcodes/health-form.html
@@ -48,6 +48,7 @@
          document.getElementById('warning').style.visibility = 'visible';
          document.getElementById('warning').style.height = '';
          document.getElementById('warning').style.margin = '';
+         return false;
      }
  };
 
@@ -62,15 +63,17 @@
      data.append("age", age);
      /* data.delete("image"); */
 
-     validate(data);
+     if (!validate(data)) {
+         return
+     };
      let obj = {};
      data.forEach((value, key) => obj[key] = value);
 
      // For use in dev
      // Can now start using this in production IF,
      // I get the server running on the server
-     let base = "https://api.tfcconnection.org/health-form";
-     /* let base = "http://localhost:4242/health-form"; */
+     /* let base = "https://api.tfcconnection.org/health-form"; */
+     let base = "http://localhost:4242/health-form";
      fetch(base, {
          method: "POST",
          body: data
@@ -326,13 +329,15 @@
       <div class="basis-full flex flex-wrap items-center">
         <input type="radio" id="agreement" name="agreement"
                onclick="process()" value="yes"
-               class="flex-none form-input {{ $formClasses }} checked">
+               class="flex-none form-input {{ $formClasses }} checked"
+               required>
         <label for="agreement" class="flex-auto">Yes</label>
       </div>
       <div class="basis-full flex flex-wrap items-center">
         <input type="radio" id="agreement" name="agreement"
                onclick="process()" value="no"
-               class="flex-none form-input {{ $formClasses }} ">
+               class="flex-none form-input {{ $formClasses }} "
+               checked>
         <label for="agreement" class="flex-auto">No</label>
       </div>
     </div>
diff --git a/src/api/health_form.rs b/src/api/health_form.rs
new file mode 100644
index 0000000..56dc61a
--- /dev/null
+++ b/src/api/health_form.rs
@@ -0,0 +1,477 @@
+use std::fs;
+
+use actix_multipart::form::{tempfile::TempFile, text::Text, MultipartForm};
+use actix_web::{post, HttpResponse};
+use lettre::{
+    message::{header::ContentType, Attachment, MultiPart},
+    transport::smtp::authentication::{Credentials, Mechanism},
+    Message, SmtpTransport, Transport,
+};
+
+#[derive(Debug, MultipartForm, Default)]
+struct HealthForm {
+    #[multipart(rename = "firstname")]
+    first_name: Option<Text<String>>,
+    #[multipart(rename = "lastname")]
+    last_name: Option<Text<String>>,
+    #[multipart(rename = "parentfirstname")]
+    parent_first_name: Option<Text<String>>,
+    #[multipart(rename = "parentlastname")]
+    parent_last_name: Option<Text<String>>,
+    birthdate: Option<Text<String>>,
+    gender: Option<Text<String>>,
+    street: Option<Text<String>>,
+    city: Option<Text<String>>,
+    state: Option<Text<String>>,
+    zip: Option<Text<i32>>,
+    #[multipart(rename = "cellphone")]
+    parent_cellphone: Option<Text<String>>,
+    homephone: Option<Text<String>>,
+    #[multipart(rename = "add-emergency-contact")]
+    contact: Option<Text<String>>,
+    #[multipart(rename = "add-emergency-contact-phone")]
+    contact_phone: Option<Text<String>>,
+    doctorname: Option<Text<String>>,
+    doctorcity: Option<Text<String>>,
+    doctorphone: Option<Text<String>>,
+    #[multipart(rename = "medical-coverage")]
+    medical: Option<Text<String>>,
+    #[multipart(rename = "insurance-name")]
+    insurance: Option<Text<String>>,
+    #[multipart(rename = "policy-number")]
+    policy_number: Option<Text<String>>,
+    allergies: Option<Text<String>>,
+    #[multipart(rename = "allergies-other")]
+    allergies_other: Option<Text<String>>,
+    #[multipart(rename = "specific-allergies")]
+    specific_allergies: Option<Text<String>>,
+    #[multipart(rename = "allergic-treatment")]
+    treatment: Option<Text<String>>,
+    conditions: Option<Text<String>>,
+    #[multipart(rename = "tetanus-shot")]
+    tetanus: Option<Text<String>>,
+    #[multipart(rename = "swimming-ability")]
+    swimming: Option<Text<String>>,
+    #[multipart(rename = "medication-schedule")]
+    medication: Option<Text<String>>,
+    #[multipart(rename = "other-notes")]
+    notes: Option<Text<String>>,
+    agreement: Option<Text<String>>,
+    #[multipart(rename = "image")]
+    file: Option<TempFile>,
+}
+
+#[post("/health-form")]
+pub async fn health_form(MultipartForm(form): MultipartForm<HealthForm>) -> HttpResponse {
+    let first = form.first_name.as_ref().unwrap().0.clone();
+    let last = form.last_name.as_ref().unwrap().0.clone();
+    let email_subject = format!("{} {} filled out a health form!", first, last);
+    let filename_noext = String::from(format!("{}_{}", first, last));
+    let parent = format!(
+        "{} {}",
+        form.parent_first_name.as_ref().unwrap().0.clone(),
+        form.parent_last_name.as_ref().unwrap().0.clone()
+    );
+    let birthdate = form
+        .birthdate
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let gender = form
+        .gender
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let street = form
+        .street
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let city = form
+        .city
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let state = form
+        .state
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let zip = form.zip.as_ref().unwrap_or(&Text { 0: 0 }).0.clone();
+    let parent_cellphone = form
+        .parent_cellphone
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let homephone = form
+        .homephone
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let contact = form
+        .contact
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let contact_phone = form
+        .contact_phone
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let doctorname = form
+        .doctorname
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let doctorcity = form
+        .doctorcity
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let doctorphone = form
+        .doctorphone
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let medical = form
+        .medical
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let insurance = form
+        .insurance
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let policy_number = form
+        .policy_number
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let agreement = form
+        .agreement
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let allergies = form
+        .allergies
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let allergies_other = form
+        .allergies_other
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let specific_allergies = form
+        .specific_allergies
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let treatment = form
+        .treatment
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let conditions = form
+        .conditions
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let tetanus = form
+        .tetanus
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let swimming = form
+        .swimming
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let medication = form
+        .medication
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    let notes = form
+        .notes
+        .as_ref()
+        .unwrap_or(&Text {
+            0: String::from(""),
+        })
+        .0
+        .clone();
+    log::info!("{first} {last} filled out a health form!");
+    let email = markup::new! {
+        @markup::doctype()
+            html {
+                head {
+                    title { @format!("{} {} filled out a health form!", first, last) }
+                    style {
+                        "table { border-collapse: collapse; width: 100% }"
+                            "td, th { padding: 8px }"
+                            "td { text-align: left; width: 70%; word-wrap: break-word }"
+                            "th { text-align: right; border-right: 1px solid #ddd }"
+                            "tr { border-bottom: 1px solid #ddd }"
+                            "h1 { text-align: center }"
+                    }
+                }
+                body {
+                    h1 { @format!("Health form for {} {}!", first, last) }
+                    hr;
+                    table {
+                        tr {
+                            th { "Name" }
+                            td { @format!("{} {}", first, last) }
+                        }
+                        tr {
+                            th { "Parent" }
+                            td { @parent }
+                        }
+                        tr {
+                            th { "Birthdate" }
+                            td { @birthdate }
+                        }
+                        tr {
+                            th { "Gender" }
+                            td { @gender }
+                        }
+                        tr {
+                            th { "Street" }
+                            td { @street }
+                        }
+                        tr {
+                            th { "City" }
+                            td { @city }
+                        }
+                        tr {
+                            th { "State" }
+                            td { @state }
+                        }
+                        tr {
+                            th { "Zip" }
+                            td { @zip }
+                        }
+                        tr {
+                            th { "Phone" }
+                            td { @parent_cellphone }
+                        }
+                        tr {
+                            th { "Home Phone" }
+                            td { @homephone }
+                        }
+                        tr {
+                            th { "Additional Emergency Contact" }
+                            td { @contact }
+                        }
+                        tr {
+                            th { "Contact Phone" }
+                            td { @contact_phone }
+                        }
+                        tr {
+                            th { "Doctor" }
+                            td { @doctorname }
+                        }
+                        tr {
+                            th { "Doctor City" }
+                            td { @doctorcity }
+                        }
+                        tr {
+                            th { "Doctor Phone" }
+                            td { @doctorphone }
+                        }
+                        tr {
+                            th { "Medical Coverage" }
+                            td { @medical }
+                        }
+                        tr {
+                            th { "Insurance Provider" }
+                            td { @insurance }
+                        }
+                        tr {
+                            th { "Policy Number" }
+                            td { @policy_number }
+                        }
+                        tr {
+                            th { "Allergies" }
+                            td { @allergies }
+                        }
+                        tr {
+                            th { "Other Allergies" }
+                            td { @allergies_other }
+                        }
+                        tr {
+                            th { "Specific Allergies" }
+                            td { @specific_allergies }
+                        }
+                        tr {
+                            th { "Treatments" }
+                            td { @treatment }
+                        }
+                        tr {
+                            th { "Physical or mental conditions" }
+                            td { @conditions }
+                        }
+                        tr {
+                            th { "Last tetanus shot" }
+                            td { @tetanus }
+                        }
+                        tr {
+                            th { "Swimming Ability" }
+                            td { @swimming }
+                        }
+                        tr {
+                            th { "Medication Schedule" }
+                            td { @medication }
+                        }
+                        tr {
+                            th { "Other Relevant Info" }
+                            td { @notes }
+                        }
+                        tr {
+                            th { "Final Agreement" }
+                            td { @agreement }
+                        }
+                    }
+                }
+            }
+    };
+    let mut path: Option<String> = Some(String::from(""));
+    let mut file_exists = false;
+    log::info!("{:?}", form);
+    log::info!("{:?}", file_exists);
+    if let Some(f) = form.file {
+        if let Some(file) = f.file_name {
+            if let Some(ext) = file.rsplit(".").next() {
+                path = Some(format!("./tmp/{}.{}", filename_noext, ext));
+            } else {
+                path = Some(format!("./tmp/{}", file));
+            }
+            // let path = format!("./tmp/{}", file);
+            log::info!("saving to {}", path.clone().unwrap());
+            match f.file.persist(path.clone().unwrap()) {
+                Ok(f) => {
+                    log::info!("{:?}", f);
+                    if f.metadata().unwrap().len() > 0 {
+                        file_exists = true;
+                    }
+                }
+                Err(e) => log::info!("{:?}: Probably a missing image", e),
+            }
+        }
+    }
+
+    let multi = if file_exists {
+        let filebody = fs::read(path.clone().unwrap_or_default());
+        let content_type = ContentType::parse("image/jpg").unwrap();
+        let attachment =
+            Attachment::new(path.unwrap_or_default()).body(filebody.unwrap(), content_type);
+        log::info!("{:?}", attachment);
+        MultiPart::alternative_plain_html(String::from("Testing"), email.to_string())
+            .singlepart(attachment)
+    } else {
+        MultiPart::alternative_plain_html(String::from("Testing"), email.to_string())
+    };
+
+    if let Ok(m) = Message::builder()
+        .from(
+            "TFC ADMIN <no-reply@mail.tfcconnection.org>"
+                .parse()
+                .unwrap(),
+        )
+        .to("Chris Cochrun <chris@tfcconnection.org>".parse().unwrap())
+        // .to("Ethan Rose <ethan@tfcconnection.org>".parse().unwrap())
+        .subject(email_subject)
+        .multipart(multi)
+    {
+        let sender = SmtpTransport::relay("mail.tfcconnection.org")
+            .ok()
+            .unwrap()
+            .credentials(Credentials::new(
+                "no-reply@mail.tfcconnection.org".to_owned(),
+                "r9f36mNZFtiW4f".to_owned(),
+            ))
+            .authentication(vec![Mechanism::Plain])
+            .build();
+        match sender.send(&m) {
+            Ok(res) => log::info!("{:?}", res),
+            Err(e) => log::info!("{e}"),
+        }
+    } else {
+        log::info!("Email incorrect");
+    }
+
+    HttpResponse::Ok().body("hi")
+}
diff --git a/src/api/mod.rs b/src/api/mod.rs
index 98fecb8..3ac1875 100644
--- a/src/api/mod.rs
+++ b/src/api/mod.rs
@@ -1 +1,2 @@
+pub mod health_form;
 pub mod mt_form;
diff --git a/src/api/mt_form.rs b/src/api/mt_form.rs
index 2d2a74b..083e4ff 100644
--- a/src/api/mt_form.rs
+++ b/src/api/mt_form.rs
@@ -522,5 +522,5 @@ pub async fn mt_form(MultipartForm(form): MultipartForm<MtForm>) -> HttpResponse
         log::info!("Email incorrect");
     }
 
-    HttpResponse::Ok().body("hi")
+    HttpResponse::Ok().body("thankyou")
 }
diff --git a/src/main.rs b/src/main.rs
index 5fa453d..a0aa1ba 100644
--- a/src/main.rs
+++ b/src/main.rs
@@ -2,6 +2,7 @@ mod api;
 
 use actix_multipart::form::tempfile::TempFileConfig;
 use actix_web::{middleware, App, HttpServer};
+use api::health_form::health_form;
 use api::mt_form::mt_form;
 
 #[actix_web::main]
@@ -18,6 +19,7 @@ async fn main() -> std::io::Result<()> {
             .wrap(middleware::Logger::default())
             .app_data(TempFileConfig::default().directory("./tmp"))
             .service(mt_form)
+            .service(health_form)
     })
     .bind(("127.0.0.1", 4242))?
     .workers(2)