# Checkbox/Radio button layout for Dentist referral (to indicate teeth)

**URL:** <https://community.gravityforms.com/t/checkbox-radio-button-layout-for-dentist-referral-to-indicate-teeth/12451>\
**Category:** Get Help\
**Tags:** custom, css\
**Created:** [April 17, 2022, 1:58pm UTC](https://community.gravityforms.com/t/checkbox-radio-button-layout-for-dentist-referral-to-indicate-teeth/12451 "2022-04-17T13:58:15Z")\
**Posts on this page:** 3\
**Page:** 1

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**Author:** ![puzz1ed1](https://sea2.discourse-cdn.com/flex020/user_avatar/community.gravityforms.com/puzz1ed1/32/5091_2.png) [@puzz1ed1](https://community.gravityforms.com/u/puzz1ed1)\
**Post date:** [April 17, 2022, 1:58pm UTC](https://community.gravityforms.com/t/checkbox-radio-button-layout-for-dentist-referral-to-indicate-teeth/12451/1 "2022-04-17T13:58:15Z")

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Not exactly an exciting request… working on a new site for a Dentist and they want to use an online form rather than PDFs for their oral surgery in future.

One key element is that the referring dentist (or patient) should indicate the tooth on a chart similar to below. Ideally the checkbox or buttons would be labelled 1-8 also but this needn’t necessarily be displayed

Any suggestions on creating this, maybe with some css hacks?

![WINWORD_220417_2359](https://us1.discourse-cdn.com/flex020/uploads/gravityforms1/original/2X/2/20f72451c47a9137a1b6bcaaf42aa01e26cd42cf.png)

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**Author:** ![sacom](https://sea2.discourse-cdn.com/flex020/user_avatar/community.gravityforms.com/sacom/32/53_2.png) [@sacom](https://community.gravityforms.com/u/sacom)\
**Post date:** [April 20, 2022, 4:21pm UTC](https://community.gravityforms.com/t/checkbox-radio-button-layout-for-dentist-referral-to-indicate-teeth/12451/2 "2022-04-20T16:21:50Z")

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This is not something you can do out of the box, not an easy customization either. So I would recommend you to post your request in the [Job Board](https://community.gravityforms.com/c/job-board/34) to hire someone to work with you.

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**Author:** ![system](https://us1.discourse-cdn.com/flex020/uploads/gravityforms1/original/2X/f/fef63f0599c45e0218c30d9f5d7ca8bff9b00189.png) [@system](https://community.gravityforms.com/u/system)\
**Post date:** [May 20, 2022, 4:21pm UTC](https://community.gravityforms.com/t/checkbox-radio-button-layout-for-dentist-referral-to-indicate-teeth/12451/3 "2022-05-20T16:21:53Z")

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