+
{{ page.content | safe }}
diff --git a/templates/shortcodes/health_form.html b/templates/shortcodes/health_form.html
new file mode 100644
index 0000000..95ee0d1
--- /dev/null
+++ b/templates/shortcodes/health_form.html
@@ -0,0 +1,518 @@
+{% set formClasses = "bg-gray-500 text-gray-50 placeholder-gray-300 focus:ring-2 focus:ring-blue-500 focus:ring-offset-2 focus:ring-offset-transparent m-2 p-3 rounded-lg hover:bg-gray-600 checked:text-gray-500" -%}
+{% set requiredField = "
* required" -%}
+
+
+
+
+