Stop booking ineligible patients into bone density scan slots
Ask whether a doctor has ordered the scan, capture the patient's reason and desired timing, and collect referral paperwork before the lead lands in your CRM as a scored, appointment-ready patient.
The exact intake your bone density scan leads complete
This is the real 5-question guided intake for Bone Density Scan — the same flow your customers finish before you ever pick up the phone.
What a qualified bone density scan lead should tell you
A DEXA scan that measures bone mineral density to assess osteoporosis risk, fracture risk, or track an existing treatment plan over time.
- Doctor Recommended Or Ordered
- Main Reason Seeking This
- Had Bone Density Scan
- Soon Have Scan Done
- Scheduling This Yourself Or
The questions your team needs answered
Every bone density scan intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| Has a doctor recommended or ordered a bone density scan for you? | A confirmed doctor's order is the single strongest signal that the scan is clinically justified rather than a general inquiry, so it carries the most weight in the score. |
| What is the main reason you are seeking this scan? | The stated reason for seeking the scan tells staff whether to expect a referral document and how the visit may need to be coded for insurance. |
| Have you had a bone density scan before? | Knowing whether this is a first scan or an ongoing monitoring scan lets staff pull a prior report for comparison before the appointment instead of discovering it's needed on the day. |
| How soon are you hoping to have the scan done? | Desired timing lets scheduling staff prioritize outreach toward patients who want an appointment soon over those with no set timeframe. |
| Are you scheduling this for yourself or for someone else? | Whether the scan is for the patient or someone else determines whose identity and insurance information need to be collected before the slot can be confirmed. |
How Cliont scores bone density scan leads
Every answer is weighted automatically — no manual review required.
Value signals
- Doctor Recommended Or Ordered: yes
- As soon as possible
- Within a month
- Flexible, no set timeframe
See the lead your team receives
Bone Density Scan 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 bone density scan workflows
| Cliont capability | Bone Density Scan application |
|---|---|
| Weighted scoring | A confirmed doctor's order combined with an as-soon-as-possible timeframe automatically produces a higher score than a self-directed, flexible-timing inquiry, so staff know which patients to call first. |
| Conditional follow-up logic | When a patient indicates they've had a prior scan for ongoing monitoring, the intake can prompt for that history so the comparison report is on hand before the appointment. |
| Document capture | Patients with a doctor's referral can upload the order letter directly in the intake, so staff aren't chasing paperwork after the slot is already booked. |
| Lead routing to CRM | Qualified bone density scan requests, along with the referral status and reason on file, are sent straight to your CRM rather than sitting in a shared inbox. |
Common bone density scan lead scenarios
Doctor-ordered, wants scan fast
A physician referral is confirmed and the patient wants the scan as soon as possible, which is the combination that pushes a lead to the top of the intake's scoring.
Routine screening, no referral
Patient selects age-related screening as the reason with no doctor's order and a flexible timeframe, which the intake scores lower than a referred, time-sensitive request.
Ongoing osteoporosis monitoring
Patient has had a scan before for ongoing monitoring and is following up on existing treatment, a pattern the intake distinguishes from a first-time baseline exam.
Booking for a family member
The person filling out the form is scheduling for someone else rather than themselves, which changes whose details staff need to confirm before the appointment is booked.
Unsure why they're asking
Patient marks the reason and referral status as unclear with no urgency on timing, a lower-signal combination that still gets captured and scored rather than dropped.
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 diagnostic imaging intake templates
Bone Density Scan lead-intake FAQs
Does the intake confirm whether a doctor actually ordered the scan?
Yes, the first question asks directly whether a doctor has recommended or ordered the bone density scan, and that answer carries the heaviest weight in the score. This helps front desk staff separate physician-directed exams from self-directed screening requests before a slot is booked.
Can the intake tell a first-time scan apart from a follow-up scan?
Yes, patients are asked whether they've had a bone density scan before and, if so, whether it was for ongoing monitoring. That distinction lets staff flag comparison scans that may need a prior report pulled ahead of the appointment.
How does the intake handle patients without a referral who are just curious about bone health?
The reason-for-scan question includes options like personal concern or not sure, so these leads still get captured and scored, just lower than a referred or treatment-follow-up request, instead of being blocked from submitting.
Can someone use the intake to book a scan for a parent or family member?
Yes, the intake asks whether the scan is being scheduled for the person filling out the form or for someone else, so staff know upfront whose identity and insurance details need to be verified before booking.
There's no separate urgency question flagged in scoring, so how is timing weighted?
Desired timing (as soon as possible, within a month, or flexible) carries its own weight in the score even though it isn't tagged as a standalone urgency signal, so requests for faster scheduling still surface higher than open-ended ones.
Does this intake apply to other imaging exams too?
This form is built specifically for bone density scan intake; sibling subservices like X-Ray, CT Scan, MRI, and Mammography each have their own dedicated qualification form and scoring logic.
Turn bone density scan visitors into qualified patients
Give every bone density scan visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book front-desk time.