Turn post-surgical pain enquiries into appointment-ready leads
Patients share how long ago they had surgery, how severe the pain feels today, and whether they're still under the surgical team's care, plus upload their discharge summary, so your team can see which cases need attention first.
The exact intake your post-surgical pain leads complete
This is the real 6-question guided intake for Post-Surgical Pain — the same flow your customers finish before you ever pick up the phone.
What a qualified post-surgical pain lead should tell you
Support for patients experiencing pain following a surgical procedure, covering how recent the surgery was, how the pain is trending, and whether the surgical team is still involved in their care.
- Long Ago Was Surgery
- Would Describe Current Pain
- Pain Getting Better, Staying
- Under Care Surgeon Or
- Best Describes Where Pain
- Already Tried Any Pain
The questions your team needs answered
Every post-surgical pain intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| How long ago was the surgery that caused this pain? | How long ago the surgery happened gives context for whether the reported pain fits an expected recovery window or falls outside it. |
| How would you describe the current pain level? | Current pain severity indicates how urgently the patient needs pain management support relative to others in the queue. |
| Is the pain getting better, staying the same, or getting worse over time? | Pain that's getting worse rather than improving over time can point to a developing issue rather than a normal healing trajectory. |
| Are you currently under the care of the surgeon or surgical team for this recovery? | Whether the surgical team is still involved tells your practice if it's coordinating alongside existing follow-up or taking on the recovery independently. |
| Which best describes where the pain is located? | Pain that has spread beyond the original surgical site is a different clinical picture than pain confined to where the procedure occurred. |
| Have you already tried any pain management treatments since the surgery? | Knowing what's already been tried, or that nothing has, helps the appointment focus on next steps rather than repeating past treatment. |
How Cliont scores post-surgical pain leads
Every answer is weighted automatically — no manual review required.
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
See the lead your team receives
Post-Surgical Pain 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 post-surgical pain workflows
| Cliont capability | Post-Surgical Pain application |
|---|---|
| Conditional branching | Whether a patient is currently under surgeon care changes what the intake asks next, so your team sees whether recovery is already being coordinated elsewhere. |
| Document upload | Patients attach their post-operative discharge summary directly to the intake, so the surgical history is on file before the appointment is confirmed. |
| Automated scoring | Time since surgery and current pain level are weighted together, so a lead reporting worsening pain shortly after surgery surfaces differently from one reporting mild, improving pain months out. |
| CRM routing | Qualified post-surgical pain leads, along with their pain location and treatment history, are sent to your CRM so staff have the full picture before scheduling. |
Common post-surgical pain lead scenarios
Early recovery, pain worsening
A patient one to four weeks post-op reports pain that's getting worse rather than improving, and isn't currently followed by the surgical team — the intake surfaces this combination so it isn't scheduled as routine follow-up.
Weeks out, actively managed
A patient still under surgeon care has already tried medication and physical therapy and describes moderate pain — the intake shows what's been ruled out so the appointment isn't spent repeating those steps.
Months later, pain spreading
A patient several months from surgery reports pain spreading beyond the original surgical site and hasn't tried any treatment yet, which the intake flags as a different profile from a straightforward post-op recovery case.
Improving, mild, low urgency
A patient reports mild pain that's improving and confirms they're still under surgeon care — the intake captures this as a lighter-touch case compared to the others coming through the same queue.
Uncertain location, severe pain
A patient marks severe pain in a location they're not sure about relative to the surgical site, giving the practice a clear signal to review before confirming an appointment slot.
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 pain management intake templates
Post-Surgical Pain lead-intake FAQs
How does the intake help tell a normal recovery from a possible complication?
The intake asks whether pain is improving, staying the same, or getting worse, and whether it's staying at the surgical site or spreading elsewhere. Pairing those two answers gives your team an early read on cases that may need faster attention than a routine recovery.
What happens if the patient is no longer being followed by their surgeon?
The intake asks directly whether the patient is currently under the surgical team's care. When they're not, your practice knows it may be taking on primary responsibility for the pain rather than coordinating alongside an active surgical follow-up.
Does the intake account for patients who've already tried treatment?
Yes — patients select which treatments they've already tried, including medication, physical therapy, or injections, or confirm they haven't tried anything yet, so appointment time isn't spent retracing steps already taken.
Could this intake route a patient toward Chronic Pain Evaluation instead?
If a patient's pain has persisted for an extended period or doesn't fit a straightforward post-surgical recovery pattern, your team can use the intake responses to redirect them toward Chronic Pain Evaluation rather than booking a post-surgical slot.
What documentation does the intake collect before the appointment?
Patients are asked to upload their post-operative discharge summary and, where relevant, photos of the surgical site, giving your team documentation on file before the first visit rather than requesting it afterward.
Why does the intake ask how long ago the surgery happened?
Recovery timelines vary, so knowing whether surgery was days, weeks, or months ago gives context for whether the reported pain and its trend fit expected healing or warrant a closer look.
Turn post-surgical pain visitors into qualified patients
Give every post-surgical pain visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book front-desk time.