By the Cliont product team
personal injury lead intake software for firms

Qualify more personal injury 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 matter, collects documents, and hands you a scored, qualified lead.

●Video greeting●Guided intake●Document upload●Instant lead scoring
Live previewQuestion 1 of 8
Did you lose a limb, finger, toe, or another body part (or need surgical removal) because of an injury?
Yes
No

A custom intake for every personal injury matter

Each one is a ready-to-embed smart survey tuned to the matter — open any to try the exact experience your leads would complete.

Amputation Injuries intake preview
8-question intake

Amputation Injuries

A claim arising from the loss of a limb, finger, toe, or other body part—by traumatic injury or required surgical removal—where the intake needs to establish that a third party may be at fault, that the incident happened in the US within the likely filing window, and that medical treatment and losses can be documented.

Preview intake →
Amusement Park Injuries intake preview
8-question intake

Amusement Park Injuries

An injury sustained at an amusement park, fair, carnival, or water park attraction, evaluated for whether an unsafe ride, poor maintenance, or a safety-rule failure by the operator caused harm requiring medical care.

Preview intake →
Asbestos and Mesothelioma intake preview
7-question intake

Asbestos and Mesothelioma

Claims brought by a patient diagnosed with mesothelioma or another asbestos-related disease, or by their surviving family, tied to identifiable asbestos exposure through a job, military service, or a named product or building in the United States.

Preview intake →
Aviation Accidents intake preview
7-question intake

Aviation Accidents

Legal claims arising from a plane, helicopter, or other aircraft accident, where qualifying depends on whether US jurisdiction applies, the caller's role in the accident, documented medical treatment, and whether an airline, operator, or aircraft owner can be identified.

Preview intake →
Bicycle Accidents intake preview
7-question intake

Bicycle Accidents

Bicycle accident claims where a cyclist was injured due to another party's negligence — a driver, another cyclist, a pedestrian, a business, or a government agency — and the intake needs to confirm jurisdiction, timing, injury, and liability before the case is worth a consultation.

Preview intake →
Birth Injuries intake preview
7-question intake

Birth Injuries

Claims involving a serious, lasting injury to an infant or mother connected to pregnancy, labor, delivery, or the immediate postpartum period, typically raising a question of medical negligence by a hospital, doctor, or nurse.

Preview intake →
Boating and Jet Ski Accidents intake preview
7-question intake

Boating and Jet Ski Accidents

A claim arising from injury on a boat or personal watercraft (jet ski), where the intake needs to establish where the accident occurred, whether another operator or owner was at fault, and whether the injury led to treatment or financial loss.

Preview intake →
Burn Injuries intake preview
7-question intake

Burn Injuries

A physical burn from fire, hot liquid or steam, chemicals, electricity, or an explosion, where the intake needs to confirm how and where it happened, whether a third party may be responsible, and how severe the medical outcome was.

Preview intake →
Bus Accidents intake preview
8-question intake

Bus Accidents

Injury claims arising from a bus accident where the prospective client was a passenger, pedestrian, cyclist, or occupant of another vehicle, and the intake needs to establish injury, fault, and the operator involved.

Preview intake →
Car Accidents intake preview
8-question intake

Car Accidents

Car Accidents covers vehicle collision matters where a prospective client may have been injured and is trying to determine whether another party's fault, available insurance, and resulting damages support a personal injury claim.

Preview intake →
Construction Site Injuries intake preview
7-question intake

Construction Site Injuries

Injuries sustained at a construction, building, road, or renovation site where a party other than the client (such as a contractor, subcontractor, property owner, or equipment company) may bear legal responsibility for the accident.

Preview intake →
Crane and Scaffold Injuries intake preview
7-question intake

Crane and Scaffold Injuries

Injuries caused by crane operations or scaffolding at construction and job sites, including falls from height, scaffold collapses, and being struck by falling equipment or materials, where liability often falls on a contractor, employer, or equipment company rather than the injured person.

Preview intake →
Dangerous Drugs and Medical Devices intake preview
7-question intake

Dangerous Drugs and Medical Devices

Claims involving harm allegedly caused by a prescription drug, over-the-counter medication, or an implanted or used medical device, qualified by confirming the drug or device involved, the injury or complication it caused, and the medical treatment that followed.

Preview intake →
Daycare and School Injuries intake preview
7-question intake

Daycare and School Injuries

Injuries to a child or student that happen at a daycare, school, school event, or during school transportation, where the underlying question is whether the facility or its staff failed to supervise properly or maintain a safe environment.

Preview intake →
Defective Product Injuries intake preview
7-question intake

Defective Product Injuries

Injuries caused by a consumer product that was defectively designed, defectively manufactured, or sold without adequate warnings, where the person was using or exposed to the product in a normal or foreseeable way.

Preview intake →
Dog Bites and Animal Attacks intake preview
7-question intake

Dog Bites and Animal Attacks

A claim arising from a dog bite or other animal attack, qualified by when and where it happened, whether the animal's owner or controller is identifiable, and whether the victim received medical care for the injury.

Preview intake →
Electrocution Injuries intake preview
8-question intake

Electrocution Injuries

A personal injury matter involving an electric shock or electrocution, evaluated for whether an unsafe or poorly maintained condition, such as exposed wiring, faulty equipment, or unsafe worksite conditions, caused the client's injuries and whether a responsible party can be identified.

Preview intake →
Elevator and Escalator Accidents intake preview
8-question intake

Elevator and Escalator Accidents

Injuries caused by a malfunctioning or dangerously maintained elevator or escalator — such as sudden stops, misleveling, jerking, or trapping — at a property owned or managed by someone other than the injured person.

Preview intake →
E-Scooter and ATV Accidents intake preview
7-question intake

E-Scooter and ATV Accidents

Injury claims stemming from e-scooter or ATV incidents — whether the claimant was riding, a passenger, a pedestrian struck by one, or driving another vehicle involved in the crash — where the intake needs to establish injury, fault, and financial loss before a consultation is booked.

Preview intake →
Farm and Agricultural Injuries intake preview
8-question intake

Farm and Agricultural Injuries

Injuries sustained on a farm, ranch, orchard, dairy, feedlot, or other agricultural worksite - often involving machinery, livestock, chemicals, or falls - where an owner, employer, contractor, coworker, or equipment maker may share responsibility.

Preview intake →
Flooding and Water Damage intake preview
7-question intake

Flooding and Water Damage

Injury or illness claims arising from flooding or water damage where a landlord, property owner, business, contractor, or city/utility may be legally responsible for the condition that caused the harm.

Preview intake →
Food Poisoning intake preview
8-question intake

Food Poisoning

A personal injury claim arising from illness caused by contaminated food or drink from a restaurant, retailer, caterer, or other business, qualified on source identification, symptom timing, medical documentation, and resulting damages.

Preview intake →
Hospital and Nursing Negligence intake preview
7-question intake

Hospital and Nursing Negligence

Harm suffered by a patient or resident while receiving care at a hospital, nursing home, or rehab facility, where poor care, unsafe conditions, or delayed treatment led to a serious injury or death.

Preview intake →
Hotel and Resort Injuries intake preview
8-question intake

Hotel and Resort Injuries

Injuries suffered by guests or visitors at a hotel, resort, or similar lodging property, typically arising from unsafe conditions such as wet floors, broken steps, poor lighting, unsafe pool areas, or inadequate security.

Preview intake →
JUUL and Vaping Injuries intake preview
8-question intake

JUUL and Vaping Injuries

A claim tied to health harm allegedly caused specifically by JUUL brand vaping products, distinguished from generic vaping or e-cigarette injury claims by device brand, age at first use, and documented medical diagnosis.

Preview intake →
Lead Paint Exposure intake preview
8-question intake

Lead Paint Exposure

A potential claim involving exposure to lead-based paint, dust, or chips in a pre-1978 home or building, where the intake needs to confirm the property's age, the exposure belief, medical evidence such as an elevated blood lead test, and an identifiable owner or landlord.

Preview intake →
Liquor Liability intake preview
7-question intake

Liquor Liability

Liquor liability (dram shop) claims involve an injury or death caused by someone who was served alcohol by a bar, restaurant, club, liquor store, or event vendor rather than a private host — qualification depends on identifying that business, the claimant's role in the incident, and whether damages and timing support a case.

Preview intake →
Medical Malpractice intake preview
8-question intake

Medical Malpractice

A claim that a doctor, nurse, hospital, or other medical professional made an error — such as a wrong or delayed diagnosis, surgical mistake, medication error, or failure to treat — that caused a new injury or worsened an existing condition.

Preview intake →
Medication and Pharmacy Errors intake preview
7-question intake

Medication and Pharmacy Errors

Claims arising from a pharmacist or provider dispensing the wrong medication, wrong dose, or wrong instructions, or dispensing a drug that should never have been given, where the intake needs to confirm the error occurred, caused physical harm, and can be tied to an identifiable pharmacy or provider.

Preview intake →
Misdiagnosis and Delayed Diagnosis intake preview
7-question intake

Misdiagnosis and Delayed Diagnosis

A claim where a healthcare provider failed to diagnose, or delayed diagnosing, a medical condition, and that error caused measurable harm such as worsened health outcomes, added treatment, or financial loss.

Preview intake →
Motorcycle Accidents intake preview
8-question intake

Motorcycle Accidents

Claims arising from a motorcycle crash where the rider or a passenger was hurt and another driver, company, or government entity may be at fault, evaluated for U.S. jurisdiction, treatment, liability, and available insurance coverage.

Preview intake →
NEC Baby Formula Litigation intake preview
7-question intake

NEC Baby Formula Litigation

Claims involving an infant diagnosed with necrotizing enterocolitis (NEC) after being fed cow's-milk-based formula, typically in a NICU setting, where the intake needs to confirm diagnosis, feeding history, and injury severity before a firm invests consultation time.

Preview intake →
Negligent Security Claims intake preview
7-question intake

Negligent Security Claims

Injury claims arising from a crime committed on someone else's property, where inadequate security measures — such as broken locks, poor lighting, absent guards, or non-working cameras — allegedly allowed the attack to happen.

Preview intake →
Nursing Home Abuse and Neglect intake preview
8-question intake

Nursing Home Abuse and Neglect

Legal claims arising from injury, harm, or death caused by abuse or neglect of a resident inside a nursing home, assisted living, or long-term care facility, screened for facility type, injury severity, and standing to bring a claim.

Preview intake →
Pedestrian Accidents intake preview
8-question intake

Pedestrian Accidents

A claim involving a pedestrian, wheelchair user, or stroller struck by a vehicle, cyclist, or hurt by unsafe property conditions, qualified on fault, injury status, treatment, and whether any settlement has already been accepted.

Preview intake →
PFAS Contamination intake preview
7-question intake

PFAS Contamination

Claims involving a diagnosed health condition potentially linked to PFAS ('forever chemicals') exposure through a specific water source, typically requiring a matched diagnosis, known exposure location, and documented losses.

Preview intake →
Premises Liability intake preview
8-question intake

Premises Liability

Injury claims arising from a dangerous or poorly maintained condition on someone else's property — a wet floor, broken step, bad lighting, or missing warning sign — where the intake needs to confirm the hazard, the visitor's legal status on site, and who owns or controls the property.

Preview intake →
Product Liability intake preview
7-question intake

Product Liability

Product liability claims involve injury or illness caused by a consumer product that was used as intended but was defective, unsafe, or missing adequate warnings, and the intake needs to establish the product, the defect theory, and proof of purchase or ownership.

Preview intake →
Rideshare Accidents Uber and Lyft intake preview
8-question intake

Rideshare Accidents Uber and Lyft

A collision involving an Uber or Lyft vehicle in a passenger, driver, or third-party role, where liability and insurance coverage often depend on who was logged into the rideshare app at the time of impact.

Preview intake →
Roundup Litigation intake preview
7-question intake

Roundup Litigation

Roundup litigation covers claims from people who were exposed to glyphosate-based weed killer and later diagnosed with non-Hodgkin lymphoma or another lymphoma, where the intake needs to establish exposure, diagnosis, and timing before a case can be evaluated.

Preview intake →
Slip and Fall Accidents intake preview
8-question intake

Slip and Fall Accidents

A fall injury claim arising from a hazardous condition on someone else's property — a wet floor, ice, uneven surface, or missing warning sign — where intake needs to confirm the injury occurred, the hazard existed, and the timeline still supports a claim.

Preview intake →
Social Media Harm Litigation intake preview
8-question intake

Social Media Harm Litigation

Claims alleging that use of a social media platform caused real psychological or physical harm to the claimant or their minor child, such as self-harm, eating disorders, depression, anxiety, or harassment-related injury requiring treatment.

Preview intake →
Spinal Cord Injuries intake preview
8-question intake

Spinal Cord Injuries

A claim involving damage to the spinal cord — from partial numbness to full paralysis — caused by an accident or incident where another party may be at fault, rather than a degenerative or unexplained medical condition.

Preview intake →
Sports and Recreational Injuries intake preview
7-question intake

Sports and Recreational Injuries

Injuries sustained during sports, athletic, or recreational activities—at a gym, park, trail, pool, ski area, or organized game—where a facility, organizer, coach, other participant, or equipment maker may share responsibility.

Preview intake →
Surgical Errors intake preview
7-question intake

Surgical Errors

A claim arising from a mistake made during surgery — such as operating on the wrong site, leaving a foreign object, or a technical error — that caused a new or worsened injury, as distinct from a known risk the patient was already told about.

Preview intake →
Swimming Pool and Drowning Accidents intake preview
7-question intake

Swimming Pool and Drowning Accidents

A claim arising from a drowning, near-drowning, or pool-related injury, typically hinging on who owned or managed the pool and whether unsafe conditions or inadequate supervision contributed to the incident.

Preview intake →
Talcum Powder Litigation intake preview
7-question intake

Talcum Powder Litigation

A claim involving long-term personal use of talc-based products (such as baby powder) followed by a diagnosis of ovarian cancer or mesothelioma, where the intake needs to establish exposure, diagnosis, timing, and brand to determine if the claim fits an active litigation track.

Preview intake →
TENORM and Radioactive Exposure intake preview
8-question intake

TENORM and Radioactive Exposure

Claims involving exposure to Technologically Enhanced Naturally Occurring Radioactive Material (TENORM) or other radioactive sources at a job site or industrial facility, where the intake needs to confirm the exposure setting, the resulting health condition, and whether a responsible company or location can be identified.

Preview intake →
Toxic Baby Food Litigation intake preview
8-question intake

Toxic Baby Food Litigation

Claims that heavy metals in commercial baby food (purees, cereals, snacks, or puffs) caused a child's autism or other developmental delay, requiring proof the child ate a named brand in the US, a diagnosis timeline that follows exposure, and an authorized parent or guardian to bring the claim.

Preview intake →
Toxic Exposure and Chemical Injuries intake preview
8-question intake

Toxic Exposure and Chemical Injuries

Personal injury or illness caused by contact with a toxic or hazardous chemical — such as fumes, gas, contaminated water, or industrial dust — where the intake needs to confirm real physical harm, a diagnosed condition, and an identifiable source of exposure.

Preview intake →
Train and Subway Accidents intake preview
7-question intake

Train and Subway Accidents

Injury claims arising from train, subway, light-rail, or station/platform incidents—including boarding or getting off—where a transit agency, operator, maintenance crew, or another party may be at fault.

Preview intake →
Traumatic Brain Injuries intake preview
7-question intake

Traumatic Brain Injuries

A claim involving a diagnosed concussion or brain injury from an accident, where the intake needs to confirm the medical diagnosis, how the injury happened, whether a liable party exists, and what ongoing symptoms or financial losses resulted.

Preview intake →
Truck Accidents intake preview
7-question intake

Truck Accidents

Injury claims arising from crashes involving semi-trucks, tractor-trailers, delivery trucks, or box trucks, where qualification depends on U.S. jurisdiction, timing within the claim window, documented injury, and evidence of driver or carrier fault.

Preview intake →
Union and Iron Worker Injuries intake preview
7-question intake

Union and Iron Worker Injuries

Injuries suffered by union members or ironworkers during job duties such as structural steel work, welding, rigging, or working at heights, where a contractor, subcontractor, property owner, or equipment maker may share liability beyond a standard workers'-comp claim.

Preview intake →
Workplace Injuries intake preview
7-question intake

Workplace Injuries

Injuries sustained on the job or at a workplace where a third party — an employer, coworker, contractor, or equipment maker — may share liability beyond a standard workers' compensation claim.

Preview intake →
Wrongful Death intake preview
8-question intake

Wrongful Death

A civil claim brought by a surviving family member or estate representative when a death resulted from an accident, negligence, or wrongdoing rather than natural causes.

Preview intake →

Information you need before every personal injury matter

  • Lose Limb, Finger, Toe,
  • Amputation Happen Because Accident
  • This Happen In United
  • Incident Happen Within Last
  • Someone Else ( Person,
  • Identify Who May Be
  • Receive Medical Treatment Injury
  • Amputation Caused Major Losses
  • Get Injured At Amusement
  • Injury Happen Within Last

How personal injury lead scoring works

Value signals

  • Lose Limb, Finger, Toe,: yes
  • Amputation Happen Because Accident: yes
  • This Happen In United: yes
  • Incident Happen Within Last: yes
  • Someone Else ( Person,: yes
  • Identify Who May Be: yes

Urgency signals

  • Receive Medical Treatment Injury
  • Get Injured At Amusement
  • Believe Something Unsafe Caused
  • Accident Happen In United
  • Injured In Boating Or
  • Burn Cause Any These:

Lower-fit signals

  • Doing Something Park Clearly: no
  • Already Hired Lawyer Or: no
  • Already Signed Settlement Release: no
  • Represented By Lawyer This: no
  • Already Signed Settlement Or: no
  • Potential Claim Already Fully: no

Your visitor has a real matter. A contact form can’t hear it.

People and businesses seeking counsel arrive ready to explain the matter. Give them a conversation instead of a dead form — and get exactly what you need to win it.

Basic contact form

Three empty fields and silence

  • No matter details or scope
  • No documents or context
  • No way to tell a real lead from a tire-kicker
  • You chase; most never reply
Cliont intake

A guided conversation that converts

  • Full matter scope in their own words
  • Reports, contracts, and filings attached automatically
  • Every lead scored by value
  • High-intent leads flagged for you

From first click to qualified lead

Follow people and businesses seeking counsel 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 matter

Smart questions adapt to their matter and capture the full scope.

They share the documents

The facts, dates, and any paperwork come attached, so you can assess the matter before the consultation.

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 matter 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.

Personal Injury lead-intake FAQs

What does a personal injury intake collect?

Each personal injury 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 personal injury 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 personal injury opportunities without manually reviewing every raw submission first.

Can visitors try a personal injury 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 personal injury 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.

Most popular

Professional

Unlimited intake forms and leads for your growing business.

$397 / month
14-day free trial · Cancel anytime
  • 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
Try free for 14 days

Pay Per Lead

Only pay when you receive a qualified lead.

$47 / qualified lead
No setup fees · No monthly fees
  • 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
Get started

Browse every legal intake template

View all legal intake templates →

While they’re still using contact forms, you’re booking cases

Give every website visitor a guided, bilingual, qualifying intake — and turn your personal injury traffic into signed work.