diff --git a/packages/forms/docs/components/MultiInput.story.mdx b/packages/forms/docs/components/MultiInput.story.mdx
new file mode 100644
index 00000000..21682e94
--- /dev/null
+++ b/packages/forms/docs/components/MultiInput.story.mdx
@@ -0,0 +1,19 @@
+import { Meta, Story, Preview, Props } from '@storybook/addon-docs/blocks';
+import MultiInput from '../../src/components/MultiInput';
+import * as stories from '../stories/MultiInput.story.js';
+
+<Meta title="Modules/Forms/Components/MultiInput" component={MultiInput} />
+
+# Overview
+
+`MultiInput` is an component that allows you to enter many input.
+
+### This is a basic example.
+
+<Preview>
+    <Story name="MultiInput">{stories.DefaultMultiInput()}</Story>
+</Preview>
+
+# Component props
+
+<Props of={MultiInput} />
diff --git a/packages/forms/docs/components/MultiPhoneNumberInput.story.mdx b/packages/forms/docs/components/MultiPhoneNumberInput.story.mdx
index 4cf4dc7b..a3293273 100644
--- a/packages/forms/docs/components/MultiPhoneNumberInput.story.mdx
+++ b/packages/forms/docs/components/MultiPhoneNumberInput.story.mdx
@@ -11,7 +11,7 @@ import * as stories from '../stories/MultiPhoneNumberInput.story.js';
 ### This is a basic example.
 
 <Preview>
-    <Story name="MultiPhoneNumberInput">{stories.BasicMultiPhoneNumberInput()}</Story>
+    <Story name="MultiPhoneNumberInput">{stories.DefaultMultiPhoneNumberInput()}</Story>
 </Preview>
 
 # Component props
diff --git a/packages/forms/docs/stories/MultiInput.story.js b/packages/forms/docs/stories/MultiInput.story.js
new file mode 100644
index 00000000..89ba8602
--- /dev/null
+++ b/packages/forms/docs/stories/MultiInput.story.js
@@ -0,0 +1,109 @@
+import React, { useState } from 'react';
+import { Application, Button, GoogleAddressLookup, PhoneInput } from 'react-rainbow-components';
+import ReactJson from 'react-json-view';
+import { Field, UniversalForm } from '@rainbow-modules/forms';
+import MultiInput from '../../src/components/MultiInput';
+
+const GOOGLE_MAPS_APIKEY = process.env.STORYBOOK_GOOGLE_MAPS_APIKEY;
+
+export const DefaultMultiInput = () => {
+    const [value, setValue] = useState();
+    return (
+        <Application>
+            <MultiInput label="Text" value={value} onChange={setValue} error="An error ocurred" />
+            <ReactJson src={value} />
+        </Application>
+    );
+};
+
+export const RemoveNoteInput = () => {
+    const [value, setValue] = useState();
+    const onAdd = (index) => {
+        return [{ label: `Patient #${index + 1}` }];
+    };
+    return (
+        <Application>
+            <MultiInput label="Patient List" value={value} onChange={setValue} onAdd={onAdd} />
+            <ReactJson src={value} />
+        </Application>
+    );
+};
+
+export const FormMultiAddressInput = () => {
+    const [value, setValue] = useState();
+    const onAdd = (index) => {
+        if (index === 0) {
+            return [{ label: 'Patient primary address', required: true }, { label: 'Note' }];
+        }
+        return [{ label: 'Patient family address' }, { label: 'Note' }];
+    };
+    return (
+        <Application>
+            <MultiInput
+                label="Addresses"
+                value={value}
+                onChange={setValue}
+                onAdd={onAdd}
+                component={(props) => (
+                    <GoogleAddressLookup apiKey={GOOGLE_MAPS_APIKEY} {...props} />
+                )}
+            />
+            <ReactJson src={value} />
+        </Application>
+    );
+};
+
+export const FormMultiPhoneNumberInput = () => {
+    const validate = (value) => {
+        if (value) {
+            if (value.length < 2) {
+                return 'Too few phone numbers';
+            }
+            const rowErrors = {};
+            value.forEach(([inputValue, note], index) => {
+                const err = {};
+                if (inputValue && inputValue.isoCode !== 'us') {
+                    err.value = 'Only US numbers are accepted';
+                }
+                if (!note || note.length < 3) {
+                    err.note = 'Note is too short';
+                }
+                if (Object.keys(err).length) {
+                    rowErrors[index] = err;
+                }
+            });
+            if (Object.keys(rowErrors).length) {
+                return rowErrors;
+            }
+        }
+        return '';
+    };
+
+    const onSubmit = (values) => {
+        // eslint-disable-next-line no-alert
+        alert(JSON.stringify(values, null, 2));
+    };
+
+    return (
+        <Application>
+            <UniversalForm id="phones" onSubmit={onSubmit}>
+                <Field
+                    name="phones"
+                    label="Phone numbers"
+                    component={(props) => <MultiInput component={PhoneInput} {...props} />}
+                    validate={validate}
+                />
+                <Button type="submit" label="Submit" />
+            </UniversalForm>
+        </Application>
+    );
+};
+
+export default {
+    title: 'Modules/Forms/Stories/MultiInput',
+    parameters: {
+        viewOnGithub: {
+            fileName: __filename,
+        },
+    },
+};
diff --git a/packages/forms/src/components/MultiInput/__tests__/index.spec.js b/packages/forms/src/components/MultiInput/__tests__/index.spec.js
new file mode 100644
index 00000000..bfd0aa6a
--- /dev/null
+++ b/packages/forms/src/components/MultiInput/__tests__/index.spec.js
@@ -0,0 +1,101 @@
+import React from 'react';
+import { mount, shallow } from 'enzyme';
+import { Application, Button } from 'react-rainbow-components';
+import MultiInput from '../index';
+import { ErrorText, Label, StyledButtonIcon, StyledInput, StyledNoteInput } from '../styled';
+
+describe('MultiInput component', () => {
+    const defaultProps = {
+        label: 'Test Label',
+        component: undefined,
+        value: undefined,
+        onChange: jest.fn(),
+        onFocus: jest.fn(),
+        onBlur: jest.fn(),
+        error: undefined,
+        max: 5,
+        onAdd: undefined,
+    };
+
+    it('renders without crashing', () => {
+        shallow(<MultiInput {...defaultProps} />);
+    });
+
+    it('renders the label', () => {
+        const wrapper = shallow(<MultiInput {...defaultProps} />);
+        expect(wrapper.find(Label).text()).toEqual('Test Label');
+    });
+
+    it('adds an input when add button is clicked', () => {
+        const wrapper = shallow(<MultiInput {...defaultProps} />);
+        const addButton = wrapper.find(Button);
+        addButton.simulate('click');
+        expect(defaultProps.onChange).toHaveBeenCalledWith([
+            [undefined, undefined],
+            [undefined, undefined],
+        ]);
+    });
+
+    it('removes an input when remove button is clicked', () => {
+        const wrapper = shallow(
+            <MultiInput
+                {...defaultProps}
+                value={[
+                    [undefined, undefined],
+                    [undefined, undefined],
+                ]}
+            />,
+        );
+        const removeButton = wrapper.find(StyledButtonIcon).first();
+        removeButton.simulate('click');
+        expect(defaultProps.onChange).toHaveBeenCalledWith([[undefined, undefined]]);
+    });
+    it('displays error message when error prop is a string', () => {
+        const wrapper = shallow(<MultiInput {...defaultProps} error="Invalid phone number" />);
+        expect(wrapper.find(ErrorText).text()).toBe('Invalid phone number');
+    });
+    it('displays error messages for each input when error prop is an object', () => {
+        const error = {
+            0: { value: 'Invalid phone number', note: 'Note error' },
+            1: { value: 'Invalid phone number' },
+        };
+        const wrapper = shallow(
+            <MultiInput
+                {...defaultProps}
+                value={[
+                    [undefined, ''],
+                    [undefined, ''],
+                ]}
+                error={error}
+            />,
+        );
+        expect(wrapper.find(StyledInput).at(0).prop('error')).toBe('Invalid phone number');
+        expect(wrapper.find(StyledNoteInput).at(0).prop('error')).toBe('Note error');
+        expect(wrapper.find(StyledInput).at(1).prop('error')).toBe('Invalid phone number');
+        expect(wrapper.find(StyledNoteInput).at(1).prop('error')).toBeUndefined();
+    });
+    it('should call onChange prop when input value changes', () => {
+        const onChangeMock = jest.fn();
+        const wrapper = mount(
+            <Application>
+                <MultiInput label="test label" onChange={onChangeMock} />
+            </Application>,
+        );
+        const input = wrapper.find('input').first();
+        input.simulate('change', { target: { value: 'test value' } });
+        expect(onChangeMock).toHaveBeenCalledWith([['test value', undefined]]);
+    });
+    it('calls onChange with the updated note value when updateNote is called', () => {
+        const onChangeMock = jest.fn();
+        const wrapper = mount(
+            <Application>
+                <MultiInput value={[['', 'note']]} onChange={onChangeMock} />
+            </Application>,
+        );
+        const noteInput = wrapper.find('input').at(1);
+
+        noteInput.simulate('change', { target: { value: 'updated note' } });
+
+        expect(onChangeMock).toHaveBeenCalledWith([['', 'updated note']]);
+    });
+});
diff --git a/packages/forms/src/components/MultiInput/index.tsx b/packages/forms/src/components/MultiInput/index.tsx
new file mode 100644
index 00000000..45bca4df
--- /dev/null
+++ b/packages/forms/src/components/MultiInput/index.tsx
@@ -0,0 +1,152 @@
+/* eslint-disable @typescript-eslint/no-explicit-any */
+/* eslint-disable react/no-unused-prop-types */
+/* eslint-disable @typescript-eslint/no-empty-function */
+import React, { ComponentType, ReactNode } from 'react';
+import PropTypes from 'prop-types';
+import { Button, Input, RenderIf } from 'react-rainbow-components';
+import { Close, Plus } from '@rainbow-modules/icons';
+import { useReduxForm } from '@rainbow-modules/hooks';
+import {
+    Container,
+    ErrorText,
+    Fieldset,
+    Label,
+    StyledInput,
+    StyledNoteInput,
+    StyledButtonIcon,
+} from './styled';
+import { InputConfig, RowError } from './types';
+
+interface InputProps<T> {
+    label?: ReactNode;
+    error?: ReactNode;
+    value?: T;
+    onChange?: (value: any) => void;
+}
+
+interface MultiInputProps<T> {
+    label: string;
+    component?: ComponentType<InputProps<T>>;
+    value?: Array<[T | undefined, string | undefined]>;
+    onChange?: (value: Array<[T | undefined, string | undefined]>) => void;
+    onFocus?: () => void;
+    onBlur?: () => void;
+    error?: string | Record<number, RowError>;
+    max?: number;
+    onAdd?: (index: number) => [InputConfig, InputConfig] | [InputConfig];
+}
+
+function MultiInput<T>(props: MultiInputProps<T>): JSX.Element {
+    const {
+        label,
+        value: valueInProps,
+        error,
+        onAdd,
+        max = 5,
+        component,
+        onChange = () => {},
+    } = useReduxForm(props);
+    const Component = component || Input;
+    const value: Array<[T | undefined, string | undefined]> = Array.isArray(valueInProps)
+        ? valueInProps
+        : [[undefined, undefined]];
+
+    const updatePhone = (index: number, newValue: any) => {
+        if (newValue?.target?.value) {
+            value[index][0] = newValue?.target?.value as T;
+        } else {
+            value[index][0] = newValue as T;
+        }
+        onChange([...value]);
+    };
+
+    const updateNote = (index: number, noteValue: string) => {
+        value[index][1] = noteValue;
+        onChange([...value]);
+    };
+
+    const addInput = () => {
+        onChange([...value, [undefined, undefined]]);
+    };
+
+    const removeInput = (index: number) => {
+        onChange(value.slice(0, index).concat(value.slice(index + 1, value.length)));
+    };
+
+    const inputs = value.map(([inputValue, note], index: number) => {
+        const isFirst = index === 0;
+        const inputConfig = onAdd
+            ? onAdd(index)
+            : [{ label: isFirst ? 'Primary' : 'Secondary' }, { label: 'Note' }];
+
+        const rowError = !error || typeof error === 'string' ? null : (error[index] as RowError);
+        const phoneError = rowError && rowError.value;
+        const noteError = rowError && rowError.note;
+        const showNote = inputConfig[1];
+
+        return (
+            // eslint-disable-next-line react/no-array-index-key
+            <Fieldset key={`value-${index}`} data-key={`value-${index}`}>
+                <StyledInput
+                    as={Component}
+                    label={inputConfig[0].label}
+                    onChange={(newValue: any) => updatePhone(index, newValue)}
+                    value={inputValue}
+                    error={phoneError}
+                />
+                {showNote && (
+                    <StyledNoteInput
+                        label={inputConfig[1]?.label}
+                        onChange={(event) => updateNote(index, event.target.value)}
+                        value={note}
+                        error={noteError}
+                    />
+                )}
+                <RenderIf isTrue={!isFirst}>
+                    <StyledButtonIcon
+                        icon={<Close />}
+                        onClick={() => removeInput(index)}
+                        variant="border-filled"
+                    />
+                </RenderIf>
+            </Fieldset>
+        );
+    });
+
+    return (
+        <Container>
+            <Label>{label}</Label>
+            {inputs}
+            <RenderIf isTrue={typeof error === 'string'}>
+                <ErrorText>{error}</ErrorText>
+            </RenderIf>
+            <RenderIf isTrue={value.length < max}>
+                <Button variant="base" onClick={addInput}>
+                    <Plus className="rainbow-m-right_small" />
+                    Add Another Input
+                </Button>
+            </RenderIf>
+        </Container>
+    );
+}
+
+MultiInput.propTypes = {
+    label: PropTypes.string.isRequired,
+    value: PropTypes.any,
+    onAdd: PropTypes.func,
+    max: PropTypes.number,
+    onChange: PropTypes.func,
+};
+
+MultiInput.defaultProps = {
+    value: undefined,
+    onAdd: undefined,
+    component: undefined,
+    max: 5,
+    onChange: () => {},
+    onFocus: () => {},
+    onBlur: () => {},
+    error: undefined,
+};
+
+export default MultiInput;
diff --git a/packages/forms/src/components/MultiInput/styled.ts b/packages/forms/src/components/MultiInput/styled.ts
new file mode 100644
index 00000000..2e54aedf
--- /dev/null
+++ b/packages/forms/src/components/MultiInput/styled.ts
@@ -0,0 +1,42 @@
+/* eslint-disable @typescript-eslint/ban-ts-comment */
+import { Input, ButtonIcon } from 'react-rainbow-components';
+import styled from 'styled-components';
+
+export const Container = styled.div``;
+
+export const Label = styled.label`
+    font-size: 18px;
+    color: ${(props) => props.theme.rainbow.palette.text.main};
+    margin-bottom: 4px;
+`;
+
+export const Fieldset = styled.fieldset`
+    display: flex;
+    flex-direction: row;
+    width: 100%;
+    justify-content: space-between;
+    align-items: flex-start;
+    gap: 12px;
+    margin-bottom: 16px;
+`;
+
+export const StyledInput = styled(Input)`
+    min-width: 65%;
+    flex: 1 1 auto;
+`;
+
+export const StyledNoteInput = styled(Input)`
+    flex-grow: 1;
+`;
+
+export const ErrorText = styled.div`
+    font-size: 0.875rem;
+    margin-top: 0.5rem;
+    align-self: start;
+    color: ${(props) => props.theme.rainbow.palette.error.main};
+`;
+
+export const StyledButtonIcon = styled(ButtonIcon)`
+    flex-shrink: 0;
+    margin-top: 24px;
+`;
diff --git a/packages/forms/src/components/MultiInput/types.ts b/packages/forms/src/components/MultiInput/types.ts
new file mode 100644
index 00000000..8956487b
--- /dev/null
+++ b/packages/forms/src/components/MultiInput/types.ts
@@ -0,0 +1,12 @@
+export interface InputConfig {
+    label: string;
+    placeholder?: string;
+    required?: boolean;
+    disabled?: boolean;
+    readOnly?: boolean;
+}
+
+export interface RowError {
+    value?: string;
+    note?: string;
+}