Know which virtual urgent care leads are worth appointment time
Patients state their main concern, how long symptoms have lasted, and confirm they're in a state where your clinician is licensed, all before the request lands in your queue. Symptom photos and device-readiness checks come in with each booking.
The exact intake your virtual urgent care leads complete
This is the real 6-question guided intake for Virtual Urgent Care — the same flow your customers finish before you ever pick up the phone.
What a qualified virtual urgent care lead should tell you
A same-day video or phone visit with a licensed clinician for non-life-threatening symptoms like cold/flu, minor injuries, rashes, digestive issues, or a prescription adjustment, screened first to rule out emergencies.
- This Visit
- Free Severe Symptoms Such
- Best Describes Main Concern
- Long Have Had These
- Have Device With Camera
- Located In State Where
The questions your team needs answered
Every virtual urgent care intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| Who is this visit for? | Knowing whether the visit is for the patient, their child, or another adult shapes consent handling and what the clinician needs to prepare for. |
| Are you free of severe symptoms such as chest pain, difficulty breathing, or uncontrolled bleeding? | A 'no' here signals a possible emergency, and the sharp weight drop should route the patient toward in-person or emergency care instead of a virtual booking. |
| Which best describes your main concern today? | Each concern type carries its own weight, letting straightforward complaints like cold/flu move faster while vaguer 'other urgent concern' answers get more scrutiny. |
| How long have you had these symptoms? | How long symptoms have persisted helps your team judge whether the visit needs same-day attention or can be scheduled with more flexibility. |
| Do you have a device with camera and internet access for a video visit? | Confirming camera and internet access up front avoids booking a video slot the patient can't actually join. |
| Are you located in the state where the clinician is licensed to treat you? | Telemedicine licensure is state-specific, so this answer prevents matching a patient with a clinician who isn't authorized to treat them there. |
How Cliont scores virtual urgent care leads
Every answer is weighted automatically — no manual review required.
Value signals
- Free Severe Symptoms Such: yes
- Cold, flu, sinus, or urinary infection symptoms
- Minor injury, cut, or sprain
- Rash or skin irritation
- Nausea, vomiting, or digestive issue
- Need a prescription refill or adjustment
Urgency signals
- Free Severe Symptoms Such
- Other urgent concern
See the lead your team receives
Virtual Urgent 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 virtual urgent care workflows
| Cliont capability | Virtual Urgent Care application |
|---|---|
| Severity screening gate | Automatically flags 'no' answers on the chest pain, breathing, or bleeding question so staff can redirect potential emergencies before a virtual slot is booked. |
| License-state matching | Cross-checks the patient's confirmed location against clinician licensing so a virtual visit is never scheduled with someone the clinician legally can't treat. |
| Weighted concern routing | Scores concern types like cold/flu or minor injury higher than prescription refill requests, so acute cases can be surfaced ahead of administrative ones. |
| Device-readiness check | Confirms camera and internet access before the booking is confirmed, cutting down on video visits that can't actually happen. |
Common virtual urgent care lead scenarios
Routine cold or flu visit
Patient clears the severity screen, picks cold/flu/sinus symptoms, and confirms camera access and in-state location — a fast, high-scoring booking.
Parent booking for a child
The visit is flagged as being for a child rather than the account holder, and the concern type (rash, digestive issue) shapes what the clinician needs to see before the call.
Severe symptom flagged
A 'no' on the chest pain, breathing, or bleeding screen drops the score sharply, signaling the patient should be redirected to emergency care instead of a virtual slot.
Out-of-state location mismatch
Patient answers no to being located in the clinician's licensed state, which lowers the score and should stop the booking before it wastes a slot.
Quick prescription refill request
Concern type is a refill or adjustment rather than a new symptom, which scores lower than acute complaints but still routes as a legitimate, short visit.
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 telemedicine intake templates
Virtual Urgent Care lead-intake FAQs
How does the intake handle patients reporting chest pain or breathing trouble?
The severity screening question carries a heavy weight difference between yes and no answers, so a 'no' drops the score and signals the patient likely needs emergency care rather than a virtual appointment.
Can the intake handle bookings for a child or another adult, not just the account holder?
Yes, the first question captures whether the visit is for the patient themselves, their child, or another adult they care for, so your team knows who's actually being seen before the call.
Does the intake check whether the patient is in a state where our clinicians are licensed?
Yes, the state licensure question is scored, and answers indicating the patient is outside the clinician's licensed state lower the score so you can catch it before booking.
What happens if a patient doesn't have a working camera or internet connection?
The device and internet access question is weighted, so a 'no' answer flags the lead as lower fit for a video visit before you allocate a slot to someone who can't join.
Are all urgent concerns treated the same, or does a refill request score differently than a new symptom?
Concern types carry different weights — cold/flu, minor injury, and rash score higher than a prescription refill or adjustment request, so acute complaints can surface ahead of administrative visits.
How is this different from your Virtual Primary Care or Medication Follow-Up intake?
Virtual Urgent Care intake is built around same-day, non-life-threatening symptoms and includes a severity screen those other intakes don't need, unlike ongoing chronic management or refill-only visits.
Turn virtual urgent care visitors into qualified patients
Give every virtual urgent care visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book front-desk time.