Qualify more pain management 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 visit, collects documents, and hands you a scored, qualified lead.
A custom intake for every pain management visit
Each one is a ready-to-embed smart survey tuned to the visit — open any to try the exact experience your leads would complete.
Post-Surgical Pain
Support for patients managing pain following a surgical procedure, including evaluation and treatment planning for recovery-related discomfort.
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Back Pain
Evaluation and treatment planning for patients experiencing back pain seeking pain management specialist care and relief options.
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Interventional Pain Consultation
A specialist consultation evaluating chronic or severe pain for possible procedural treatments such as injections, nerve blocks, or ablations.
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Joint Pain
Intake for patients seeking evaluation or treatment of joint pain from causes such as arthritis, injury, or overuse.
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Nerve Pain
Evaluation and treatment services for nerve-related pain, including burning, tingling, numbness, or shooting pain caused by nerve irritation.
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Neck Pain
A pain management service addressing neck pain evaluation and treatment for patients seeking relief from persistent or recent discomfort.
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Chronic Pain Evaluation
A specialist assessment for ongoing or recurring pain to identify possible causes and discuss appropriate management options.
Preview intake →Information you need before every pain management visit
- Long Ago Was Surgery
- Would Describe Current Pain
- Pain Getting Better, Staying
- Under Care Surgeon Or
- Best Describes Where Pain
- Already Tried Any Pain
- Long Have Been Experiencing
- Pain Spread Into Legs,
- Had Any Imaging, Such
- Already Tried Treatments Such
How pain management lead scoring works
Value signals
- Less than 1 week ago
- 1-4 weeks ago
- 1-3 months ago
- More than 3 months ago
- Mild
- Moderate
Urgency signals
- Severe
- Severe, limits most activities
- Severe impact, major limitations
- Severely limits daily activities
- Severe, unable to perform normal activities
Your visitor has a real visit. A contact form can’t hear it.
Patients and caregivers arrive ready to explain the visit. Give them a conversation instead of a dead form — and get exactly what you need to win it.
Three empty fields and silence
- No visit details or scope
- No documents or context
- No way to tell a real lead from a tire-kicker
- You chase; most never reply
A guided conversation that converts
- Full visit scope in their own words
- Relevant photos and documents attached
- Every lead scored by value
- High-intent leads flagged for you
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.
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 visit 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.
Pain Management lead-intake FAQs
What does a pain management intake collect?
Each pain management 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 pain management 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 pain management opportunities without manually reviewing every raw submission first.
Can visitors try a pain management 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 pain management 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.
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
Browse every medical intake template
While they’re still using contact forms, you’re booking patients
Give every website visitor a guided, bilingual, qualifying intake — and turn your pain management traffic into signed work.