diff --git a/frontend/app/globals.css b/frontend/app/globals.css
index f15e306..56a432a 100644
--- a/frontend/app/globals.css
+++ b/frontend/app/globals.css
@@ -121,6 +121,22 @@
 @layer base {
   * {
     @apply border-border outline-ring/50;
+    scrollbar-width: thin;
+    scrollbar-color: oklch(1 0 0 / 18%) transparent;
+  }
+  *::-webkit-scrollbar {
+    width: 8px;
+    height: 8px;
+  }
+  *::-webkit-scrollbar-track {
+    background: transparent;
+  }
+  *::-webkit-scrollbar-thumb {
+    background-color: oklch(1 0 0 / 18%);
+    border-radius: 9999px;
+  }
+  *::-webkit-scrollbar-thumb:hover {
+    background-color: oklch(1 0 0 / 28%);
   }
   body {
     @apply bg-background text-foreground;
diff --git a/frontend/components/chat/chat-input.tsx b/frontend/components/chat/chat-input.tsx
index 58d71b6..46a39b5 100644
--- a/frontend/components/chat/chat-input.tsx
+++ b/frontend/components/chat/chat-input.tsx
@@ -11,9 +11,24 @@ import {
   Plus,
   Square,
   Stethoscope,
+  X,
 } from "lucide-react";
-import { type KeyboardEvent, useCallback, useState } from "react";
+import {
+  type ChangeEvent,
+  type KeyboardEvent,
+  type ReactNode,
+  useCallback,
+  useRef,
+  useState,
+} from "react";
 
+import {
+  DropdownMenu,
+  DropdownMenuContent,
+  DropdownMenuRadioGroup,
+  DropdownMenuRadioItem,
+  DropdownMenuTrigger,
+} from "@/components/ui/dropdown-menu";
 import { cn } from "@/lib/utils";
 
 type ChatInputProps = {
@@ -22,6 +37,37 @@ type ChatInputProps = {
   onStop?: () => void;
 };
 
+type Option = { value: string; label: string };
+
+const ACCESS_OPTIONS: Option[] = [
+  { value: "standard", label: "Standard access" },
+  { value: "break-glass", label: "Break-glass (emergency)" },
+  { value: "read-only", label: "Read-only" },
+];
+const RESPONSE_OPTIONS: Option[] = [
+  { value: "concise", label: "Concise" },
+  { value: "detailed", label: "Detailed" },
+  { value: "comprehensive", label: "Comprehensive" },
+];
+const SPECIALTY_OPTIONS: Option[] = [
+  { value: "internal-medicine", label: "Internal Medicine" },
+  { value: "cardiology", label: "Cardiology" },
+  { value: "pediatrics", label: "Pediatrics" },
+  { value: "emergency", label: "Emergency" },
+  { value: "all", label: "All specialties" },
+];
+const FACILITY_OPTIONS: Option[] = [
+  { value: "main-hospital", label: "Main Hospital" },
+  { value: "north-clinic", label: "North Clinic" },
+  { value: "telehealth", label: "Telehealth" },
+];
+const TIME_OPTIONS: Option[] = [
+  { value: "30d", label: "Last 30 days" },
+  { value: "12m", label: "Last 12 months" },
+  { value: "5y", label: "Last 5 years" },
+  { value: "all", label: "All time" },
+];
+
 const iconButton =
   "flex size-8 items-center justify-center rounded-lg text-muted-foreground transition-colors hover:bg-accent hover:text-foreground";
 const pillButton =
@@ -29,19 +75,86 @@ const pillButton =
 const contextPill =
   "flex h-7 items-center gap-1.5 rounded-md px-2 text-[13px] text-muted-foreground transition-colors hover:bg-foreground/5 hover:text-foreground";
 
+function SelectPill({
+  ariaLabel,
+  triggerClassName,
+  chevronClassName,
+  icon,
+  prefix,
+  value,
+  onValueChange,
+  options,
+  align = "start",
+}: {
+  ariaLabel: string;
+  triggerClassName: string;
+  chevronClassName: string;
+  icon: ReactNode;
+  prefix?: string;
+  value: string;
+  onValueChange: (value: string) => void;
+  options: Option[];
+  align?: "start" | "center" | "end";
+}) {
+  const selected = options.find((option) => option.value === value);
+
+  return (
+    <DropdownMenu>
+      <DropdownMenuTrigger
+        render={
+          <button aria-label={ariaLabel} className={triggerClassName} type="button" />
+        }
+      >
+        {icon}
+        {prefix ? (
+          <span className="font-medium text-foreground">{prefix}</span>
+        ) : null}
+        <span className="truncate">{selected?.label}</span>
+        <ChevronDown className={chevronClassName} />
+      </DropdownMenuTrigger>
+      <DropdownMenuContent align={align}>
+        <DropdownMenuRadioGroup onValueChange={onValueChange} value={value}>
+          {options.map((option) => (
+            <DropdownMenuRadioItem key={option.value} value={option.value}>
+              {option.label}
+            </DropdownMenuRadioItem>
+          ))}
+        </DropdownMenuRadioGroup>
+      </DropdownMenuContent>
+    </DropdownMenu>
+  );
+}
+
 export function ChatInput({ onSubmit, status, onStop }: ChatInputProps) {
   const [value, setValue] = useState("");
+  const [files, setFiles] = useState<File[]>([]);
+  const [access, setAccess] = useState("standard");
+  const [responseMode, setResponseMode] = useState("detailed");
+  const [specialty, setSpecialty] = useState("internal-medicine");
+  const [facility, setFacility] = useState("main-hospital");
+  const [timeRange, setTimeRange] = useState("12m");
+  const fileInputRef = useRef<HTMLInputElement>(null);
+
   const isGenerating = status === "submitted" || status === "streaming";
-  const canSend = value.trim().length > 0 && !isGenerating;
+  const canSend =
+    (value.trim().length > 0 || files.length > 0) && !isGenerating;
 
   const submit = useCallback(() => {
     const trimmed = value.trim();
-    if (!trimmed || isGenerating) {
+    if ((!trimmed && files.length === 0) || isGenerating) {
       return;
     }
-    onSubmit(trimmed);
+    const parts: string[] = [];
+    if (trimmed) {
+      parts.push(trimmed);
+    }
+    if (files.length > 0) {
+      parts.push(`[Attached: ${files.map((file) => file.name).join(", ")}]`);
+    }
+    onSubmit(parts.join("\n\n"));
     setValue("");
-  }, [value, isGenerating, onSubmit]);
+    setFiles([]);
+  }, [value, files, isGenerating, onSubmit]);
 
   const handleKeyDown = useCallback(
     (event: KeyboardEvent<HTMLTextAreaElement>) => {
@@ -57,6 +170,22 @@ export function ChatInput({ onSubmit, status, onStop }: ChatInputProps) {
     [submit]
   );
 
+  const handleFilesSelected = useCallback(
+    (event: ChangeEvent<HTMLInputElement>) => {
+      const selected = event.target.files;
+      if (selected && selected.length > 0) {
+        setFiles((prev) => [...prev, ...Array.from(selected)]);
+      }
+      // Reset so picking the same file again still fires onChange.
+      event.target.value = "";
+    },
+    []
+  );
+
+  const removeFile = useCallback((index: number) => {
+    setFiles((prev) => prev.filter((_, i) => i !== index));
+  }, []);
+
   return (
     <form
       onSubmit={(event) => {
@@ -77,24 +206,69 @@ export function ChatInput({ onSubmit, status, onStop }: ChatInputProps) {
           value={value}
         />
 
+        {files.length > 0 && (
+          <div className="flex flex-wrap items-center gap-1.5 px-3 pb-2">
+            {files.map((file, index) => (
+              <span
+                className="flex items-center gap-1.5 rounded-lg bg-muted px-2 py-1 text-xs text-foreground"
+                key={`${file.name}-${file.size}-${index}`}
+              >
+                <span className="max-w-40 truncate">{file.name}</span>
+                <button
+                  aria-label={`Remove ${file.name}`}
+                  className="text-muted-foreground transition-colors hover:text-foreground"
+                  onClick={() => removeFile(index)}
+                  type="button"
+                >
+                  <X className="size-3.5" />
+                </button>
+              </span>
+            ))}
+          </div>
+        )}
+
+        <input
+          aria-label="Attach files"
+          className="hidden"
+          multiple
+          onChange={handleFilesSelected}
+          ref={fileInputRef}
+          type="file"
+        />
+
         <div className="flex items-center justify-between gap-2 px-3 pb-3">
           <div className="flex min-w-0 items-center gap-1">
-            <button aria-label="Attach file" className={iconButton} type="button">
+            <button
+              aria-label="Attach file"
+              className={iconButton}
+              onClick={() => fileInputRef.current?.click()}
+              type="button"
+            >
               <Plus className="size-[18px]" />
             </button>
-            <button className={pillButton} type="button">
-              <Hand className="size-4" />
-              <span className="truncate">Standard access</span>
-              <ChevronDown className="size-4 opacity-70" />
-            </button>
+            <SelectPill
+              ariaLabel="Access level"
+              chevronClassName="size-4 opacity-70"
+              icon={<Hand className="size-4" />}
+              onValueChange={setAccess}
+              options={ACCESS_OPTIONS}
+              triggerClassName={pillButton}
+              value={access}
+            />
           </div>
 
           <div className="flex shrink-0 items-center gap-1">
-            <button className={cn(pillButton, "mr-1")} type="button">
-              <span className="font-medium text-foreground">Clinical</span>
-              <span>Detailed</span>
-              <ChevronDown className="size-4 opacity-70" />
-            </button>
+            <SelectPill
+              align="end"
+              ariaLabel="Response mode"
+              chevronClassName="size-4 opacity-70"
+              icon={null}
+              onValueChange={setResponseMode}
+              options={RESPONSE_OPTIONS}
+              prefix="Clinical"
+              triggerClassName={cn(pillButton, "mr-1")}
+              value={responseMode}
+            />
             <button aria-label="Dictate" className={iconButton} type="button">
               <Mic className="size-[18px]" />
             </button>
@@ -122,21 +296,33 @@ export function ChatInput({ onSubmit, status, onStop }: ChatInputProps) {
 
       {/* Bottom (darker) card peeking out below, more rounded: context selectors */}
       <div className="flex flex-wrap items-center gap-1 px-3 pt-2.5 pb-3">
-        <button className={contextPill} type="button">
-          <Stethoscope className="size-4" />
-          <span>Internal Medicine</span>
-          <ChevronDown className="size-3.5 opacity-70" />
-        </button>
-        <button className={contextPill} type="button">
-          <Building2 className="size-4" />
-          <span>Main Hospital</span>
-          <ChevronDown className="size-3.5 opacity-70" />
-        </button>
-        <button className={contextPill} type="button">
-          <CalendarRange className="size-4" />
-          <span>Last 12 months</span>
-          <ChevronDown className="size-3.5 opacity-70" />
-        </button>
+        <SelectPill
+          ariaLabel="Specialty"
+          chevronClassName="size-3.5 opacity-70"
+          icon={<Stethoscope className="size-4" />}
+          onValueChange={setSpecialty}
+          options={SPECIALTY_OPTIONS}
+          triggerClassName={contextPill}
+          value={specialty}
+        />
+        <SelectPill
+          ariaLabel="Facility"
+          chevronClassName="size-3.5 opacity-70"
+          icon={<Building2 className="size-4" />}
+          onValueChange={setFacility}
+          options={FACILITY_OPTIONS}
+          triggerClassName={contextPill}
+          value={facility}
+        />
+        <SelectPill
+          ariaLabel="Time range"
+          chevronClassName="size-3.5 opacity-70"
+          icon={<CalendarRange className="size-4" />}
+          onValueChange={setTimeRange}
+          options={TIME_OPTIONS}
+          triggerClassName={contextPill}
+          value={timeRange}
+        />
       </div>
     </form>
   );
diff --git a/frontend/components/chat/patient-cards.tsx b/frontend/components/chat/patient-cards.tsx
index ae6ac98..70c837b 100644
--- a/frontend/components/chat/patient-cards.tsx
+++ b/frontend/components/chat/patient-cards.tsx
@@ -42,6 +42,9 @@ const statusVariant: Record<Patient["status"], BadgeVariant> = {
 
 const sexLabel: Record<Patient["sex"], string> = { F: "Female", M: "Male" };
 
+// Fixed width so the cards sit in a horizontal scroll row instead of squashing.
+const rowCard = "w-80 shrink-0 snap-start";
+
 function SectionLabel({ children }: { children: string }) {
   return (
     <p className="text-xs font-medium tracking-wide text-muted-foreground uppercase">
@@ -52,7 +55,7 @@ function SectionLabel({ children }: { children: string }) {
 
 function SummaryCard({ patient }: { patient: Patient }) {
   return (
-    <Card size="sm">
+    <Card className={rowCard} size="sm">
       <CardHeader>
         <div className="flex items-center gap-3">
           <Avatar className="size-10">
@@ -79,7 +82,7 @@ function SummaryCard({ patient }: { patient: Patient }) {
 
 function AllergiesCard({ patient }: { patient: Patient }) {
   return (
-    <Card size="sm">
+    <Card className={rowCard} size="sm">
       <CardHeader>
         <CardTitle>Allergies & alerts</CardTitle>
       </CardHeader>
@@ -127,7 +130,7 @@ function AllergiesCard({ patient }: { patient: Patient }) {
 
 function MedicationsCard({ patient }: { patient: Patient }) {
   return (
-    <Card size="sm">
+    <Card className={rowCard} size="sm">
       <CardHeader>
         <CardTitle>Medications & problems</CardTitle>
       </CardHeader>
@@ -171,7 +174,7 @@ function VitalsCard({ patient }: { patient: Patient }) {
   ];
 
   return (
-    <Card size="sm">
+    <Card className={rowCard} size="sm">
       <CardHeader>
         <CardTitle>Vitals, labs & visits</CardTitle>
         <CardDescription>Vitals taken {vitals.takenAt}</CardDescription>
@@ -222,7 +225,7 @@ function VitalsCard({ patient }: { patient: Patient }) {
 function LoadingCards() {
   return (
     <>
-      <Card size="sm">
+      <Card className={rowCard} size="sm">
         <CardHeader>
           <div className="flex items-center gap-3">
             <Skeleton className="size-10 rounded-full" />
@@ -234,7 +237,7 @@ function LoadingCards() {
         </CardHeader>
       </Card>
       {[0, 1, 2].map((card) => (
-        <Card key={card} size="sm">
+        <Card className={rowCard} key={card} size="sm">
           <CardHeader>
             <Skeleton className="h-4 w-44" />
           </CardHeader>
@@ -263,7 +266,7 @@ export function PatientResult({ status, fileNumber, patient }: PatientResultProp
   }
 
   return (
-    <div className="flex w-full flex-col gap-4">
+    <div className="flex w-full snap-x items-start gap-4 overflow-x-auto pb-2">
       {status === "loading" || !patient ? (
         <LoadingCards />
       ) : (