Every healthcare staffing enquiry, scored before it reaches your CRM
The intake asks the role type, facility type, employment type, and hiring timeline your recruiters need before quoting a search, plus whether the requester can actually authorize the hire.
The exact intake your healthcare staffing leads complete
This is the real 6-question guided intake for Healthcare Staffing — the same flow your customers finish before you ever pick up the phone.
What a qualified healthcare staffing lead should tell you
Staffing requests for hospitals, clinics, long-term care facilities, and home health agencies needing licensed clinical or administrative personnel, whether on a temporary, contract, or permanent basis.
- Healthcare Roles Fill
- Facility Or Organization This
- Employment Type Needed
- Many Positions Trying Fill
- Authorized Make Hiring Decisions
- Soon These Positions Filled
The questions your team needs answered
Every healthcare staffing intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| What type of healthcare roles do you need to fill? | Nursing, allied health, and physician roles carry the highest weight, so this answer tells recruiters which searches need clinical-specialty sourcing versus general administrative hiring. |
| What kind of facility or organization is this for? | Segments the lead so you can route, price, and prioritize it correctly. |
| What is the employment type needed? | Segments the lead so you can route, price, and prioritize it correctly. |
| How many positions are you currently trying to fill? | Six-or-more-position requests score higher than a single opening, helping you prioritize larger, more resource-intensive engagements. |
| Are you authorized to make hiring decisions for this organization? | A 'no' answer signals the requester may not be the decision-maker, which should hold the lead back from a discovery call until authority is confirmed. |
| How soon do you need these positions filled? | An immediate need points to shift-gap or coverage urgency, which should move faster through your pipeline than a search with no set date. |
How Cliont scores healthcare staffing leads
Every answer is weighted automatically — no manual review required.
Value signals
- Nursing (RN, LPN, CNA)
- Allied health (therapists, techs)
- Physicians or advanced practice providers
- Administrative or front office staff
- Other healthcare role
- One position
Urgency signals
- Immediately
Disqualifiers
- Not sure yet
See the lead your team receives
Healthcare Staffing Lead
From first click to qualified lead
Follow prospects and clients through one smooth, guided flow.
They land & meet you
Your video greeting plays instantly — a real face instead of a blank form.
They explain the project
Smart questions adapt to their project and capture the full scope.
They share the details
The scope and any documents come attached, so you can scope before the first call.
You get a ready lead
Scored and qualified — waiting for you to win it.
Built for healthcare staffing workflows
| Cliont capability | Healthcare Staffing application |
|---|---|
| Weighted scoring rules | Nursing, allied health, and physician roles carry higher weight than administrative roles, and six-or-more-position requests outscore single openings, so bigger clinical searches surface first. |
| Conditional branching | Facility type and employment type answers route the intake down different paths, so a hospital request and a home health agency request can be handled distinctly downstream. |
| Disqualifying and lower-fit logic | A 'no' answer on hiring authorization pulls the score down without discarding the lead, flagging it for a decision-maker check before your team invests discovery-call time. |
| CRM routing with tags | Qualified leads arrive in your CRM already tagged by role type and facility type, so recruiters can filter nursing hospital requests separately from per diem long-term care requests. |
Common healthcare staffing lead scenarios
Hospital needs RNs immediately
A hospital HR contact selects nursing roles, six or more positions, and an immediate timeline, which should route straight to the top of your queue.
Single physician permanent search
A clinic requests one physician on a permanent basis with no urgency, a slower but still relevant search that gets scored and routed without disrupting faster requests.
Long-term care per diem coverage
A senior facility asks for CNAs on a temporary or per diem basis to cover shift gaps, a distinct facility type and employment type combination the intake captures separately.
Requester lacks hiring authority
Someone fills out the form but answers no to being authorized to make hiring decisions, a signal that should lower the lead's score until a decision-maker is confirmed.
Vague, early-stage enquiry
A contact selects 'not sure yet' for employment type, position count, and timeline, indicating the search isn't scoped enough to prioritize for a discovery call yet.
Connect Cliont to your workflow
Send leads
HubSpot, HighLevel, Salesforce, JobNimbus
Book projects
Google Calendar, Outlook Calendar, Calendly
Notify your team
Email, SMS, Slack
Automate follow-up
Zapier, Webhooks, API
Simple, transparent pricing
Choose the plan that works for your business.
Professional
Unlimited intake forms and leads for your growing business.
- Unlimited intake forms
- Custom video greetings
- AI-powered voice bot
- English + Spanish support
- Automatic lead scoring
- Digital estimates & e-signatures
- Photo, video & file upload
- Advanced analytics dashboard
Pay Per Lead
Only pay when you receive a qualified lead.
- Unlimited intake forms
- Custom video greetings
- AI-powered voice bot
- English + Spanish support
- Automatic lead scoring
- Digital estimates & e-signatures
- Photo, video & file upload
- Charged only for submitted leads
More recruiting and staffing intake templates
Healthcare Staffing lead-intake FAQs
Does the intake ask different things for a hospital versus a home health agency?
Facility type is a single catalog question, so a hospital, clinic, long-term care facility, or home health agency all answer the same field, letting you segment and route by facility without building separate forms.
Can the intake filter out people who can't actually approve a hire?
Yes, the hiring-authority question carries its own weight, so a 'no' answer scores lower than a 'yes,' helping you spot requests that still need a decision-maker before you scope work.
How does the intake tell an urgent shift-gap request apart from a slower search?
The timeline question ranges from immediate need to planning ahead with no set date, so an urgent per diem request scores differently than an open-ended permanent search.
Does a request for six nursing openings get treated differently than one admin role?
Position count is scored separately from role type, so a six-or-more-position request scores higher than a single administrative hire, even before you look at urgency.
What if the client isn't sure yet whether they need temp, contract, or permanent staff?
The employment type question includes a 'not sure yet' option, which the intake captures as-is rather than forcing a premature commitment, so you can follow up to scope it properly.
Is this intake specific to healthcare, or the same as your other staffing intakes?
It's built around healthcare-specific facility and role categories like nursing, allied health, and physicians, which differ from siblings such as Technology Staffing or High-Volume Hiring.
Turn healthcare staffing visitors into qualified clients
Give every healthcare staffing visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you take the first call.