Know which vascular imaging leads are worth appointment time
Patients confirm which body area needs imaging, how soon they need to be seen, and whether they have a referral — while uploading prior vascular imaging reports before your team schedules the appointment.
The exact intake your vascular imaging leads complete
This is the real 6-question guided intake for Vascular Imaging — the same flow your customers finish before you ever pick up the phone.
What a qualified vascular imaging lead should tell you
Ultrasound or angiography-based studies that assess blood flow and vessel structure in a specific body area, ordered to investigate circulation symptoms or confirm a suspected vascular condition before a scan is scheduled.
- Have Doctor'S Referral Or
- Area Body Vascular Imaging
- Prompting This Vascular Imaging
- Soon This Imaging Scheduled
- Have Prior Vascular Imaging
- This Imaging
The questions your team needs answered
Every vascular imaging intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| Do you have a doctor's referral or prescription for this vascular imaging? | This is the highest-weighted question in the catalog, so a missing referral can flag the lead for review before staff offer a scan slot the patient may not be eligible for. |
| Which area of the body needs vascular imaging? | The body area selected determines which equipment, protocol, and technologist the appointment needs, so it drives internal routing. |
| What is prompting this vascular imaging request? | The free-text reason gives clinical context — such as sudden pain or stroke-like symptoms — that helps staff judge urgency beyond the selected timeframe. |
| How soon do you need this imaging scheduled? | This question is directly weighted (8/5/3), so it's the main driver separating urgent requests from routine scheduling in the lead score. |
| Do you have prior vascular imaging results to share with the provider? | Knowing whether prior imaging exists tells staff whether the appointment needs to be a comparison study, which can affect prep and length. |
| Who is this imaging for? | Imaging requested for a child or another family member typically needs different consent and protocol handling than a self-referral. |
How Cliont scores vascular imaging leads
Every answer is weighted automatically — no manual review required.
Value signals
- Have Doctor'S Referral Or: yes
- Within a few weeks
- No specific timeframe
Urgency signals
- Urgent, within a few days
See the lead your team receives
Vascular Imaging Lead – Carotid, Urgent
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 vascular imaging workflows
| Cliont capability | Vascular Imaging application |
|---|---|
| Referral verification flag | When a patient answers no to having a referral, Cliont flags the lead for staff review before a scan slot is offered, reducing appointments booked for patients who don't yet meet authorization requirements. |
| Body-area based routing | Answers to which area needs imaging — legs/arms, neck/carotid, abdomen, or brain — route the lead toward the technologist or protocol suited to that specific vascular study. |
| Urgency-weighted scoring | The scheduling-timeframe question carries the heaviest weight in this catalog, so urgent requests surface above routine ones in your CRM queue. |
| Prior-results upload prompt | A yes answer on prior vascular imaging triggers a document upload, so the ordering provider has comparison studies before the appointment. |
Common vascular imaging lead scenarios
Urgent carotid referral
A patient reports transient vision changes, selects the urgent timeframe, and confirms they have a referral — the intake flags this for same-week scheduling ahead of routine requests.
No referral on file
A patient wants imaging on their legs but answers no to having a doctor's referral, so staff can review the free-text reason before offering a slot instead of booking an appointment they may not be eligible for.
Follow-up with prior scans
A patient with previous vascular imaging results selects no specific timeframe and confirms they can share prior reports, letting your team plan a comparison study rather than a first-time workup.
Imaging requested for a family member
Someone books vascular imaging on behalf of another family member rather than themselves, prompting staff to confirm referral and consent details before scheduling.
Uncertain body area
A patient marks 'Not sure' for which area needs imaging, so the reason field and referral status become the main clues staff use to route the request before booking.
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
Vascular Imaging lead-intake FAQs
Does the intake confirm a referral before a slot gets booked?
Yes — the referral question carries the heaviest weight in this catalog, so a 'no' answer can flag the lead for staff review before an appointment is offered, instead of booking a patient who may not meet the facility's authorization requirement.
How does the intake handle patients who aren't sure which area needs imaging?
The body-area question includes a 'Not sure' option, and it's paired with the free-text reason field so staff have enough context to route the request correctly before scheduling.
Why does the requested timeframe affect how a lead is scored?
The scheduling-timeframe question has three weighted answers, so a request marked urgent surfaces higher in your queue than one with no specific timeframe.
Can patients share prior vascular imaging results through the intake?
Patients answer whether they have prior vascular imaging to share, and a yes response can prompt an upload of those reports so the provider has comparison studies on hand.
How is this intake different from a general Ultrasound request?
The body-area options (legs/arms, neck/carotid, abdomen, brain) are specific to vascular concerns, so staff can tell a circulation-focused request apart from a general Ultrasound enquiry and redirect if needed.
What happens if the request is for a child or another family member?
The intake asks who the imaging is for, so staff can confirm consent and referral details differently for a child or another family member than for a self-referral.
Turn vascular imaging visitors into qualified patients
Give every vascular imaging visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book front-desk time.