Qualify more emergency dentistry leads before the first call
A basic contact form gives you a name, an email, and silence. Cliont greets every visitor with your video, walks them through their visit, collects documents, and hands you a scored, qualified lead.
A custom intake for every emergency dentistry visit
Each one is a ready-to-embed smart survey tuned to the visit — open any to try the exact experience your leads would complete.
Dental Injury
Urgent care intake for patients who have experienced trauma or injury to a tooth, gum, or jaw area.
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Knocked-Out Tooth
Urgent care for a tooth completely knocked out of its socket, including evaluation and possible replantation to save the tooth.
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Dental Abscess
Urgent evaluation and treatment for a suspected dental abscess, including infection assessment, pain relief, and drainage or referral as needed.
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Broken or Chipped Tooth
Urgent care for a cracked, chipped, or broken tooth, including assessment of pain, damage, and need for prompt dental treatment.
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Lost Filling or Crown
Urgent dental care for patients who have lost a filling or crown and need prompt evaluation, repair, or replacement of the affected tooth.
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Severe Toothache
Urgent evaluation and treatment for intense tooth pain that may indicate infection, decay, or other dental emergencies requiring prompt care.
Preview intake →Information you need before every emergency dentistry visit
- Best Describes Injury
- Long Ago Did Injury
- Patient Experiencing Pain Or
- Injury
- Already Seen Dentist Or
- Able Bring Patient In
- Long Ago Did Tooth
- Still Have Tooth Available
- Tooth Being Stored
- Whose Tooth Was Knocked
How emergency dentistry lead scoring works
Value signals
- Tooth knocked out completely
- Tooth loosened or shifted
- Cut to gum, lip, or tongue
- Jaw pain from impact
- Other
- Within the last hour
Urgency signals
- Tooth chipped or broken
- Severe
- Experiencing Pain Or Sensitivity
- Large piece broken off
- Immediately, today
- Severe, constant pain
Your visitor has a real visit. A contact form can’t hear it.
Patients and caregivers arrive ready to explain the visit. Give them a conversation instead of a dead form — and get exactly what you need to win it.
Three empty fields and silence
- No visit details or scope
- No documents or context
- No way to tell a real lead from a tire-kicker
- You chase; most never reply
A guided conversation that converts
- Full visit scope in their own words
- Relevant photos and documents attached
- Every lead scored by value
- High-intent leads flagged for you
From first click to qualified lead
Follow patients and caregivers 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 visit
Smart questions adapt to their visit and capture the full scope.
They share details
Symptoms, history, and documents come attached before the visit.
You get a ready lead
Scored and qualified — waiting for you to win it.
From template to routed lead
Cliont handles website intake and qualification; your existing business system remains the source of record after handoff.
Choose the right intake
Start with the industry, service, and visit template that matches the work you want to qualify.
Configure the experience
Add your video greeting, keep the questions you need, and choose which answers affect fit, urgency, and value.
Connect it to your site
Embed the guided intake on the relevant service page and test the complete phone, tablet, and desktop experience.
Route the qualified lead
Send the score, answers, and uploads into your chosen notification, CRM, or calendar workflow for staff follow-up.
Emergency Dentistry lead-intake FAQs
What does a emergency dentistry intake collect?
Each emergency dentistry template asks job-specific questions drawn from the selected service, then captures contact details and relevant documents. The resulting submission gives the team more context than a name-and-email contact form.
How are emergency dentistry leads scored?
Cliont weights answers that indicate scope, urgency, fit, and potential value. It sends the score with the visitor's answers so the team can prioritize stronger emergency dentistry opportunities without manually reviewing every raw submission first.
Can visitors try a emergency dentistry intake on a phone?
Yes. The guided intake is designed for mobile, tablet, and desktop browsers. Visitors can answer questions and attach the requested files from the device they already have with them.
Where can qualified emergency dentistry leads be sent?
Cliont can route qualified leads to email, SMS, Slack, common CRM and calendar tools, Zapier, webhooks, or an API workflow. Cliont handles lead intake and qualification; the connected practice or business system remains the source of record after handoff.
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
Browse every dental intake template
While they’re still using contact forms, you’re booking patients
Give every website visitor a guided, bilingual, qualifying intake — and turn your emergency dentistry traffic into signed work.