Know which recurrent UTI leads are worth appointment time
Patients share how many UTIs they've had in the past year, whether they're currently symptomatic, and conditions like pregnancy, diabetes, or catheter use — plus recent urine test results — before your team schedules anything.
The exact intake your recurrent urinary infection leads complete
This is the real 5-question guided intake for Recurrent Urinary Infection — the same flow your customers finish before you ever pick up the phone.
What a qualified recurrent urinary infection lead should tell you
Evaluation intake for patients experiencing multiple urinary tract infections over the past year, capturing infection frequency, current symptoms, and conditions such as pregnancy, diabetes, catheter use, or kidney problems that affect treatment.
- Many Urinary Tract Infections
- Experiencing Symptoms Urinary Infection
- Following Apply Regarding This
- Already Seen Doctor Specifically
- Patient, Or Inquiring On
The questions your team needs answered
Every recurrent urinary infection intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| How many urinary tract infections have you had in the past 12 months? | The number of UTIs in the past year is the core recurrence signal, with 2-3 and 4+ infections weighted highest for prioritization. |
| Are you currently experiencing symptoms of a urinary infection right now? | Active symptoms right now carry a higher weight than no current symptoms, since it distinguishes an urgent case from a history-only inquiry. |
| Which of the following apply to you regarding this condition? | Pregnancy, diabetes, catheter use, and kidney history each change how the case should be managed, so this answer flags it for clinical review independent of the score. |
| Have you already seen a doctor specifically for this recurring issue? | Knowing whether the patient is already under active care prevents staff from booking a duplicate evaluation for an issue someone else is already treating. |
| Are you the patient, or are you inquiring on behalf of someone else? | Identifying a caregiver submission changes who staff should contact and what consent steps apply before scheduling. |
How Cliont scores recurrent urinary infection leads
Every answer is weighted automatically — no manual review required.
Value signals
- 2-3
- 4 or more
- Not sure
- Experiencing Symptoms Urinary Infection: yes
See the lead your team receives
Recurrent UTI 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 recurrent urinary infection workflows
| Cliont capability | Recurrent Urinary Infection application |
|---|---|
| Weighted scoring | Automatically ranks patients reporting 2-3 or 4+ UTIs in the past year, or currently symptomatic, so staff see the highest-value cases first. |
| Conditional flagging | Surfaces pregnancy, diabetes, catheter use, or kidney history from the multi-select question so a clinician can review the case before it's booked. |
| Care-status routing | Separates patients already under active care from new inquiries so a new workup isn't scheduled on top of existing treatment. |
| Caregiver identification | Flags when a caregiver or family member submits the intake instead of the patient, so consent and follow-up communication can be adjusted. |
Common recurrent urinary infection lead scenarios
Frequent recurrence with active symptoms
A patient reports 4 or more UTIs in the past year and is currently symptomatic, matching the intake's highest-value signals and flagging for a same-window appointment.
Uncertain about infection count
A patient selects 'Not sure' for how many UTIs they've had, which still scores as high value, prompting staff to gather clarity before confirming a slot.
Complicating condition present
A patient flags pregnancy, diabetes, catheter use, or a history of kidney problems on the multi-select question, triggering closer clinical review regardless of frequency.
Already under active care elsewhere
A patient indicates they're currently being treated by another provider for this issue, helping staff avoid booking a duplicate workup.
Caregiver submitting the inquiry
A family member fills out the form on the patient's behalf, which changes how staff follow up and what consent steps are needed before scheduling.
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 urology intake templates
Recurrent Urinary Infection lead-intake FAQs
How does the intake decide which recurrent UTI leads are high priority?
It weighs how many infections the patient reports in the past 12 months and whether they're currently symptomatic — patients reporting 2-3 or 4+ infections, or active symptoms, score higher and surface first.
What happens if a patient flags pregnancy, diabetes, or catheter use?
The multi-select condition question surfaces these details on the lead record so clinical staff can review them before an appointment is confirmed, since each can change how the case should be handled.
Can the intake tell if a patient is already being treated for this?
Yes — the form distinguishes between patients currently under care, previously treated, or not yet seen for this recurring issue, so your team can avoid scheduling a duplicate workup.
Does the form handle inquiries submitted by a caregiver instead of the patient?
Yes, the intake captures whether the person filling it out is the patient or a caregiver, which affects how staff follow up and confirm details.
What if a patient isn't sure how many UTIs they've had?
A 'Not sure' answer still scores as a high-value lead rather than being screened out, since uncertainty about frequency is common and worth a follow-up call to clarify.
How is this different from your Urinary Symptoms intake?
This intake focuses on infection history over the past year and complicating conditions, while the Urinary Symptoms intake is built around a single current symptom presentation rather than a recurrence pattern.
Turn recurrent urinary infection visitors into qualified patients
Give every recurrent urinary infection visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book front-desk time.