Qualify more pediatrics 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 pediatrics 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.

Adolescent Health Visit
A routine checkup for teenagers covering physical growth, general wellness, and preventive health guidance appropriate for their age.
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Childhood Illness
Guidance and care coordination for evaluating and managing a child's acute or ongoing illness symptoms.
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Behavioral Concerns
Pediatric consultation for children showing behavioral, emotional, or social difficulties that affect daily functioning at home or school.
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School and Sports Physical
A routine pediatric checkup and clearance exam confirming a child's general health and fitness for school enrollment or sports participation.
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Developmental Concerns
Evaluation and guidance for children showing possible delays or differences in speech, motor, social, or learning development.
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Well-Child Visit
A routine pediatric checkup to monitor a child's growth, development, and immunizations, without focus on acute illness.
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Newborn Care
Guidance and check-ups for infants from birth through the first weeks, covering feeding, growth, and general newborn health concerns.
Preview intake →Information you need before every pediatrics visit
- Main Reason This Visit
- Old Adolescent
- This Adolescent'S First Visit
- Parent Or Legal Guardian
- Adolescent Have Any Current
- Soon Schedule This Visit
- There Any Records Or
- Child'S Current Age Range
- Would Describe Severity Current
- Long Has Child Had
How pediatrics lead scoring works
Value signals
- Routine annual checkup
- School or sports form
- Specific health concern
- Vaccination update
- Not sure
- Parent Or Legal Guardian: yes
Urgency signals
- Mild, child is active and eating normally
- Severe, significant discomfort or distress
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.
Pediatrics lead-intake FAQs
What does a pediatrics intake collect?
Each pediatrics 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 pediatrics 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 pediatrics opportunities without manually reviewing every raw submission first.
Can visitors try a pediatrics 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 pediatrics 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 pediatrics traffic into signed work.