Stroke follow-up intake that asks what your team actually needs to
Ask how long ago the stroke occurred, whether the patient still has a neurologist managing follow-up care, and what symptoms have shown up since — with discharge summaries and imaging attached, Cliont routes the qualified case straight to your CRM.
The exact intake your stroke follow-up leads complete
This is the real 6-question guided intake for Stroke Follow-Up — the same flow your customers finish before you ever pick up the phone.
What a qualified stroke follow-up lead should tell you
Ongoing neurology intake for patients recovering from a stroke, capturing how long ago the event occurred, whether a neurologist is already managing their care, current symptoms, and rehab therapy status so the practice can schedule the right kind of follow-up visit.
- Long Ago Did Stroke
- This Follow-Up Care
- Patient Lack Neurologist Managing
- Symptoms Or Changes Has
- Patient Had Any Imaging
- Patient Participating In Any
The questions your team needs answered
Every stroke follow-up intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| How long ago did the stroke occur? | Time since the stroke tells the practice how urgently the patient needs to be seen, since strokes under a month old score highest for follow-up priority. |
| Who is this follow-up care for? | Segments the lead so you can route, price, and prioritize it correctly. |
| Does the patient currently lack a neurologist managing their stroke follow-up care? | Confirms whether the patient already has a neurologist managing follow-up care, since patients without one score highest and typically need faster onboarding. |
| What symptoms or changes has the patient experienced recently? | Surfaces active neurological symptoms like weakness or speech difficulty so staff can flag cases that need a sooner appointment rather than a routine check-in. |
| Has the patient had any imaging or lab tests since the stroke? | Tells the front desk whether imaging or labs already exist so they can request records ahead of the visit instead of scheduling blind. |
| Is the patient currently participating in any rehabilitation therapy? | Shows what rehab therapy the patient is already receiving so the neurologist can coordinate care rather than duplicate a referral. |
How Cliont scores stroke follow-up leads
Every answer is weighted automatically — no manual review required.
Value signals
- Less than 1 month ago
- 1 to 6 months ago
- 6 to 12 months ago
- Over a year ago
- Patient Lack Neurologist Managing: yes
- Weakness or numbness
See the lead your team receives
Stroke Follow-Up 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 stroke follow-up workflows
| Cliont capability | Stroke Follow-Up application |
|---|---|
| Weighted scoring | Combines how recently the stroke occurred with whether the patient already has a managing neurologist, so newly discharged patients without follow-up coverage rise to the top automatically. |
| Multi-select symptom capture | Lets a patient report overlapping issues like weakness, speech difficulty, and mobility problems in a single field, so staff see the full clinical picture before the case reaches the CRM. |
| Caregiver-aware intake | Adjusts based on whether the person completing the form is the patient, a family caregiver, or a representative, so the record correctly reflects who reported the symptoms. |
| Document upload | Collects discharge summaries and imaging reports at intake so the front desk isn't chasing records after the appointment is already booked. |
| CRM routing | Sends cases flagged as recently discharged with no managing neurologist directly into your CRM as high-priority follow-ups rather than a general queue. |
Common stroke follow-up lead scenarios
New stroke, no neurologist yet
Patient was discharged less than a month ago and has no one managing follow-up care, reporting weakness or numbness — the intake flags this as a high-priority case needing a fast appointment.
Established survivor checking in
Stroke occurred over a year ago, the patient is already in multiple types of therapy and reports no new symptoms — a lower-urgency case still worth a scheduled review.
Caregiver submitting on behalf
A family member fills out the intake for a relative, specifying whether imaging or labs have been done and what therapy is underway before the case reaches your CRM.
New speech or memory changes
Stroke happened one to six months ago and the patient now reports speech or memory changes — a symptom combination that warrants clinical review even without repeat imaging yet.
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 neurology intake templates
Stroke Follow-Up lead-intake FAQs
How does the intake prioritize recent strokes over older ones?
The time-since-stroke question scores highest for events under a month old and lowest for strokes over a year ago, so your most time-sensitive cases surface first without you having to read every submission.
What happens if the patient doesn't have a neurologist managing their care yet?
That answer carries one of the heaviest weights in the intake, since patients without ongoing neurology coverage after a stroke typically need to be onboarded sooner rather than added to a routine queue.
Can a family member or representative submit the intake instead of the patient?
Yes, the intake asks upfront who the follow-up care is for — the patient themselves, a family member they care for, or another patient they represent — so the form and downstream record reflect who's actually completing it.
Does the intake check whether imaging or lab work has already been done?
Yes, it asks whether the patient has had imaging or labs since the stroke, which helps staff request existing records ahead of the visit instead of scheduling blind or duplicating tests.
How does Cliont capture what rehab therapy the patient is already in?
The intake asks whether the patient is in physical, occupational, or speech therapy, multiple types, or none currently, so the neurologist can coordinate with existing rehab rather than order redundant referrals.
What symptoms cause a lead to score higher for priority follow-up?
Weakness or numbness and speech or language difficulty carry the highest symptom weights, since those changes are more likely to signal a need for prompt clinical attention than mood changes or no new symptoms.
Turn stroke follow-up visitors into qualified patients
Give every stroke follow-up visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book front-desk time.