Qualify more urgent care 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 urgent care 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.

Fever and Flu Symptoms
Urgent care evaluation for patients experiencing fever, chills, body aches, or other flu-like symptoms needing prompt assessment.
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Occupational Health Visit
An urgent care visit addressing workplace-related injuries, illnesses, screenings, or employer-required health evaluations for employees.
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Cuts and Burns
Urgent care evaluation and treatment guidance for patients with recent cuts, wounds, or burns needing prompt medical attention.
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Minor Injury
Urgent care evaluation and treatment for minor injuries such as sprains, small cuts, minor burns, or bruises requiring prompt attention.
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Respiratory Symptoms
Urgent care evaluation for non-emergency respiratory symptoms such as cough, congestion, sore throat, or mild breathing discomfort.
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Minor Illness
Urgent care evaluation and treatment for non-life-threatening illnesses such as colds, infections, fevers, or minor injuries.
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Diagnostic Testing
Urgent care service providing prompt diagnostic tests such as imaging or lab work to evaluate acute symptoms or injuries.
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Sprains and Strains
Urgent evaluation and care for suspected joint sprains or muscle strains, including pain management and mobility assessment.
Preview intake →Information you need before every urgent care visit
- Patient Needing Care
- High Has Fever Been,
- Long Have Symptoms Lasted
- Additional Symptoms Present
- Patient Have Any Chronic
- Patient Able Keep Fluids
- Main Reason This Occupational
- This Visit Required By
- Have Paperwork Or Forms
- Soon This Visit Completed
How urgent care lead scoring works
Value signals
- No fever or not measured
- Under 101°F (38.3°C)
- 101-103°F (38.3-39.4°C)
- Above 103°F (39.4°C)
- Cough or congestion
- Body aches or headache
Urgency signals
- Patient Able Keep Fluids
- Immediately
- Able Visit Urgent Care
- Severe pain, difficulty breathing, or chest pain
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.
Urgent Care lead-intake FAQs
What does a urgent care intake collect?
Each urgent care 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 urgent care 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 urgent care opportunities without manually reviewing every raw submission first.
Can visitors try a urgent care 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 urgent care 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 urgent care traffic into signed work.