Denture intake that asks what your team actually needs to know
Ask about their current tooth situation, denture type preference, and treatment timeline, then collect a photo of their current denture, so your team only books consultations for patients ready to move forward.
The exact intake your dentures leads complete
This is the real 5-question guided intake for Dentures — the same flow your customers finish before you ever pick up the phone.
What a qualified dentures lead should tell you
Consultation service for patients seeking full, partial, or implant-supported dentures — covering new fittings, extractions still needed, and repair or replacement of an existing denture.
- Current Tooth Situation
- Denture Interested In
- Wear Dentures That Be
- Soon Would Like Start
- Person Who Will Make
The questions your team needs answered
Every dentures intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| What is your current tooth situation? | This carries the heaviest weight in the catalog, since a patient with no remaining teeth is a more straightforward denture case than one who still has teeth or needs extractions first. |
| What type of denture are you interested in? | Knowing whether the patient wants a full, partial, or implant-supported denture lets your team route the case to the right clinician and estimate chair time before the consultation. |
| Do you currently wear dentures that need to be replaced or repaired? | A patient already wearing dentures that need replacing is a different clinical path than a first-time denture case, so this flags it early. |
| How soon would you like to start this process? | Patients who want to start immediately or within a month score highest, helping your team prioritize who gets the next available consultation slot. |
| Are you the person who will make decisions about this dental treatment? | A no answer means the actual patient hasn't confirmed the treatment decision yet, so the lead should be handled as a preliminary inquiry rather than a booking-ready one. |
How Cliont scores dentures leads
Every answer is weighted automatically — no manual review required.
Value signals
- I have no remaining natural teeth
- I have some remaining natural teeth
- I need teeth extracted before dentures
- Not sure
- Within a month
- In a few months
Urgency signals
- Immediately
See the lead your team receives
Dentures Lead
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.
Built for dentures workflows
| Cliont capability | Dentures application |
|---|---|
| Weighted scoring | Tooth situation and timeline answers carry the heaviest weights, so a patient with no remaining teeth who wants to start immediately scores higher than someone still exploring options. |
| Decision-maker check | The yes/no question about who's making the treatment decision automatically deprioritizes leads submitted by someone other than the patient. |
| Case-type tagging | The denture type question tags each lead as full, partial, implant-supported, or undecided, so front-desk staff can see complexity before the consultation is booked. |
| CRM routing | Once a lead clears the scoring threshold, their tooth situation, denture type, and timeline answers are pushed into your CRM as structured fields rather than a raw form submission. |
Common dentures lead scenarios
No remaining teeth, ready now
The patient has no remaining natural teeth and wants to start immediately — this pairs the highest tooth-situation weight with the fastest timeline, so it should surface at the top of the queue.
Existing denture needs replacing
The patient already wears a denture and flags it as needing replacement or repair, a distinct case from a first-time denture fitting that your team may want to triage differently.
Implant-supported denture inquiry
The patient selects implant-supported denture as their preferred type — a higher-complexity, higher-value case that's worth flagging separately from a standard full or partial denture request.
Family member inquiring for someone else
The person filling out the intake answers no to being the decision-maker, which lowers priority since treatment can't move forward until the actual patient is involved.
Early-stage, still exploring
The patient marks their tooth situation as not sure and their timeline as just exploring options — a real inquiry, but one your team can route to a lower-urgency follow-up rather than a rushed consultation.
Connect Cliont to your workflow
Send leads
HubSpot, HighLevel, Salesforce, JobNimbus
Book visits
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 restorative dentistry intake templates
Dentures lead-intake FAQs
Can the intake tell the difference between a full, partial, and implant-supported denture request?
Yes — the intake asks directly which denture type the patient is interested in, so your team can see at a glance whether it's a standard fitting or a more involved implant-supported case.
How does the intake handle a patient who isn't sure about their remaining teeth?
Not sure is a valid answer option for the tooth situation question, and it still carries weight in scoring, so uncertain patients aren't dropped — they're just flagged as needing a clinical assessment before treatment planning.
What happens if the person filling out the form isn't the patient?
The intake asks whether the respondent is the decision-maker for the treatment; a no answer lowers the lead's priority since the actual patient still needs to be reached before booking.
Does the intake flag patients who already wear dentures and need repair or replacement?
Yes — there's a specific yes/no question for whether the patient currently wears dentures needing replacement or repair, so those cases are distinguishable from new denture inquiries.
How is timeline used to prioritize denture leads?
Patients who want to start immediately or within a month score higher than those who are just exploring options, which helps your team decide who to book for a consultation first.
Does this intake also cover dental implants as a standalone procedure?
This intake is specific to dentures; a separate Dental Implant subservice in the library handles implant-only inquiries that aren't part of a denture case.
Turn dentures visitors into qualified patients
Give every dentures visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book front-desk time.