Know which fracture leads need same-day care
Patients tell you whether a fracture is confirmed or only suspected, which body part is affected, and whether they can bear weight at all, plus upload injury photos or imaging, so your team can spot the emergencies before the phone rings.
The exact intake your fracture care leads complete
This is the real 5-question guided intake for Fracture Care — the same flow your customers finish before you ever pick up the phone.
What a qualified fracture care lead should tell you
Evaluation and treatment for a suspected or confirmed bone fracture, including diagnosis status, the affected body part, weight-bearing ability, and how urgently the patient needs to be seen.
- Doctor Confirmed Fracture, Or
- Part Body Affected By
- Unable Bear Weight Or
- Soon Be Seen This
- Seeking This Care Yourself
The questions your team needs answered
Every fracture care intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| Has a doctor confirmed a fracture, or do you suspect one but have not been diagnosed yet? | Distinguishes confirmed fractures, suspected but undiagnosed injuries, and already-treated follow-ups, so scoring doesn't unfairly penalize patients who haven't yet seen a doctor. |
| Which part of the body is affected by the injury? | Identifies the affected body part so the lead can be routed to the right specialist without adding weight to the score. |
| Are you currently unable to bear weight or move the injured area at all? | Total inability to bear weight or move the area is a strong marker of a serious fracture that needs faster attention than a mobile, minor injury. |
| How soon do you need to be seen for this injury? | Directly separates emergency-level requests from routine follow-ups so staff can prioritize same-day slots for the patients who actually need them. |
| Are you seeking this care for yourself or for someone else you are assisting? | Flags when a parent or caregiver is submitting on behalf of a child or dependent so staff can prepare for a guardian-led conversation before contact. |
How Cliont scores fracture care leads
Every answer is weighted automatically — no manual review required.
Value signals
- Confirmed by imaging/diagnosis
- Suspected, not yet diagnosed
- Already treated, need follow-up care
- Unable Bear Weight Or: yes
- Within 24-48 hours
- This week
Urgency signals
- Immediately, this is an emergency
See the lead your team receives
Fracture Care 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 fracture care workflows
| Cliont capability | Fracture Care application |
|---|---|
| Conditional scoring logic | Combines the weight-bearing answer with the urgency timeframe answer so an immobile, immediate-need patient scores above a routine follow-up, even before diagnosis is confirmed. |
| Video intake widget | Lets patients show visible swelling, deformity, or limb positioning on camera, giving staff a first look at injury severity before the appointment. |
| Automated CRM routing | Sends confirmed and suspected fracture leads straight to your CRM with the affected body part tagged, so front desk staff can pre-assign the right orthopedic specialist. |
| Structured document upload | Collects existing imaging reports or ER discharge paperwork upfront, so already-treated patients don't have to re-explain their history on the call. |
Common fracture care lead scenarios
Suspected fracture, can't bear weight
No diagnosis yet, but the patient cannot move or bear weight on the injured limb and needs to be seen immediately. Intake flags this as high priority even without confirmed imaging.
Already treated, follow-up visit
Patient was treated elsewhere or in the ER and now needs cast or recovery follow-up, with no urgency flagged. Intake routes this as a lower-urgency but still high-value case for scheduling.
Parent booking for a child
A parent submits on behalf of a child with a suspected wrist fracture needing care within 24-48 hours. The dependent field lets staff prep for a pediatric visit before contact.
Confirmed hip fracture, elderly adult
An adult is assisting an elderly relative with an imaging-confirmed hip fracture who cannot move the area and needs to be seen immediately. This combination of signals scores as the highest priority in the queue.
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 orthopedics intake templates
Fracture Care lead-intake FAQs
How does the intake tell an emergency apart from a routine follow-up?
It combines the urgency timeframe question with the weight-bearing question, so a patient who cannot move the injured area and needs to be seen immediately scores far higher than someone requesting a routine follow-up visit.
Can a patient submit an enquiry before they've been officially diagnosed?
Yes. The diagnosis question includes a 'suspected, not yet diagnosed' option, so patients who haven't seen a doctor yet can still be captured and scored, rather than being filtered out for lacking a formal diagnosis.
Does the intake ask which body part is affected?
Yes, patients select from arm/wrist/hand, leg/ankle/foot, hip/pelvis, spine/back, or other. This field isn't weighted for scoring, but it lets your front desk route the lead to the right specialist immediately.
How are pediatric or dependent cases flagged?
The intake asks whether the patient is submitting for themselves, a child or dependent, or another adult they're assisting, so staff know to expect a guardian on the call before they even dial.
What happens with patients who were already treated elsewhere?
The diagnosis question has an 'already treated, need follow-up care' option, which still scores as high-value since these are confirmed fracture patients needing ongoing management, not new evaluations.
Is this the same intake used for sports injuries or knee pain?
No. Sports Injury and Knee Pain are separate subservices with their own catalogs; this fracture care intake is specific to diagnosed or suspected breaks, weight-bearing status, and cast/splint follow-up.
Turn fracture care visitors into qualified patients
Give every fracture care visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book front-desk time.