diff --git a/components/appointment/detail/Form.js b/components/appointment/detail/Form.js
index 239206a..d1fe8b9 100644
--- a/components/appointment/detail/Form.js
+++ b/components/appointment/detail/Form.js
@@ -2,8 +2,8 @@ import Content from "./Content";
 import EditField from "../../../app/component/fields/EditField";
 import DefaultSelect from "@/app/component/selectors/DefaultSelect";
 
-function Form({ changeData, insurance, data, isForAnother }) {
-  const findVal = () => {
+function Form({ changeData, insurance, supplementaryInsurance, data, isForAnother }) {
+  const findBasicInsuranceVal = () => {
     return insurance?.find(
       (g) =>
         g.id ===
@@ -11,6 +11,14 @@ function Form({ changeData, insurance, data, isForAnother }) {
     );
   };
 
+  const findSupplementaryInsuranceVal = () => {
+    return supplementaryInsurance?.find(
+      (g) =>
+        g.id ===
+        (data?.supplementary_insurance?.value ? data?.supplementary_insurance.value.id : false)
+    );
+  };
+
   return (
     <div
       className="grid mt-[12px] sm:mt-[14px] md:mt-[17px] lg:mt-[20px] items-start 
@@ -26,16 +34,28 @@ function Form({ changeData, insurance, data, isForAnother }) {
           name="national_code"
         />
       </Content>
-      <Content title="نام و نام خانوادگی">
+      <Content title="نام">
         <EditField changeData={changeData} data={data?.name} name="name" />
       </Content>
+      <Content title="نام خانوادگی">
+        <EditField changeData={changeData} data={data?.family} name="family" />
+      </Content>
       <Content title="نوع بیمه">
         <DefaultSelect
           updateData={(name, val) => changeData(val, "value", name)}
           label="نوع بیمه"
           name="basic_insurance"
           list={insurance}
-          value={findVal()}
+          value={findBasicInsuranceVal()}
+        />
+      </Content>
+      <Content title="بیمه تکمیلی">
+        <DefaultSelect
+          updateData={(name, val) => changeData(val, "value", name)}
+          label="بیمه تکمیلی"
+          name="supplementary_insurance"
+          list={supplementaryInsurance}
+          value={findSupplementaryInsuranceVal()}
         />
       </Content>
     </div>
diff --git a/components/appointment/detail/index.js b/components/appointment/detail/index.js
index 8b61501..9751fad 100644
--- a/components/appointment/detail/index.js
+++ b/components/appointment/detail/index.js
@@ -17,6 +17,7 @@ function Detail({
   setIsPay,
 }) {
   const [insurance, setInsurance] = useState();
+  const [supplementaryInsurance, setSupplementaryInsurance] = useState();
   const changeData = (value, type, name) =>
     setData({
       ...data,
@@ -27,11 +28,19 @@ function Detail({
     });
 
   useEffect(() => {
+    // دریافت لیست بیمه پایه
     request.getInsuranceType().then((res) => {
       if (res && res.data) {
         setInsurance(res.data);
       }
     });
+
+    // دریافت لیست بیمه تکمیلی
+    request.getSupplementaryInsurance().then((res) => {
+      if (res && res.data) {
+        setSupplementaryInsurance(res.data);
+      }
+    });
   }, []);
 
   return (
@@ -56,6 +65,7 @@ function Detail({
         <Form
           data={data}
           insurance={insurance}
+          supplementaryInsurance={supplementaryInsurance}
           changeData={changeData}
           isForAnother={isForAnother}
         />
diff --git a/services/response.js b/services/response.js
index ef6631f..efee94c 100644
--- a/services/response.js
+++ b/services/response.js
@@ -42,6 +42,8 @@ export const request = {
   getUserInfo: (headers) => api.get("oauth/userinfo", { ...headers, requireAuth: true }),
   getInsuranceType: (page = 1, limit = 10) =>
     api.get(`api/v1/categorys/insurance_type?page=${page}&limit=${limit}`, removeTokenHead),
+  getSupplementaryInsurance: (page = 1, limit = 100) =>
+    api.get(`api/v1/categorys/supplementary_insurance?page=${page}&limit=${limit}`, removeTokenHead),
   getDoctors: (params) =>
     api.get("api/v1/doctors", {
       params,