index.html

<form action="http://localhost:8000/clinics/" method="POST" enctype="multipart/form-data">
  <input type="file" name="icon"/>
  <input type="text" name="title" placeholder="title"/>
  <input type="text" name="description" placeholder="description"/>
  <input type="text" name="phone" placeholder="phone"/>
  <input type="text" name="address" placeholder="address"/>
  <input type="text" name="postal_code" placeholder="postal_code"/>
  <input type="submit" value="SUBMIT"/>
</form>