Know which wound care leads are worth a care assessment
Ask about wound type, dressing frequency, and infection signs upfront, then have families upload photos of the wound so your clinical team can gauge severity before scheduling a care assessment.
The exact intake your wound care leads complete
This is the real 6-question guided intake for Wound Care — the same flow your customers finish before you ever pick up the phone.
What a qualified wound care lead should tell you
In-home nursing visits to assess, clean, dress, and monitor a wound — such as a surgical incision, pressure ulcer, or diabetic ulcer — so a home health agency can gauge severity and staffing needs before scheduling a visit.
- Wound Care
- Doctor Or Nurse Evaluated
- Often Wound Dressing Changes
- Soon In-Home Wound Care
- There Any Signs Infection
- Will Be Present Assist
The questions your team needs answered
Every wound care intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| What type of wound needs care? | Wound type indicates clinical complexity, since a diabetic or vascular ulcer typically requires more skilled nursing attention than a minor cut. |
| Has a doctor or nurse evaluated this wound? | Whether a doctor or nurse has already evaluated the wound tells the agency if a clinical order is already in place or still needs to be obtained. |
| How often does the wound currently need dressing changes? | Segments the lead so you can route, price, and prioritize it correctly. |
| How soon is in-home wound care needed to start? | How soon care needs to start separates families who need a nurse dispatched right away from those still comparing options. |
| Are there any signs of infection such as increased redness, odor, or drainage? | Signs of infection flag wounds that may need urgent clinical attention rather than routine scheduling. |
| Who will be present to assist during care visits? | Knowing who will be present during visits shows whether a family caregiver can assist between nurse visits or if the senior will be unsupervised. |
How Cliont scores wound care leads
Every answer is weighted automatically — no manual review required.
Value signals
- Surgical incision
- Pressure ulcer (bedsore)
- Diabetic or vascular ulcer
- Injury or cut
- Not sure
- Doctor Or Nurse Evaluated: yes
Urgency signals
- Immediately
See the lead your team receives
Wound 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 wound care workflows
| Cliont capability | Wound Care application |
|---|---|
| Branching question logic | Follow-up detail adjusts based on the wound type selected — a diabetic or vascular ulcer prompts different context than a minor injury or cut. |
| Photo upload widget | Families upload photos of the wound during intake, giving your clinical staff a visual reference before a nurse is dispatched. |
| Automated lead scoring | Answers on wound type and doctor evaluation are weighted together, so an unevaluated diabetic ulcer surfaces above a minor cut that's already been assessed. |
| CRM delivery | Completed wound care intakes are scored and sent straight to your CRM so care coordinators can see dressing frequency and caregiver availability at a glance. |
Common wound care lead scenarios
Diabetic ulcer with infection signs
The family flags a diabetic or vascular ulcer and reports increased redness or odor, which should surface as a higher-severity lead even before a nurse has seen it.
Post-surgical incision, already evaluated
A doctor has already assessed the surgical incision and a family caregiver will be present at visits, giving your team a clearer, lower-risk picture to schedule against.
Senior living alone with unclear wound
The family isn't sure what type of wound it is and no caregiver will be present, signaling a case that may need a paid caregiver arranged before care can start.
Family exploring options, no urgency yet
Dressing changes are only weekly and the family selects 'just exploring options,' which lets the agency route this lead for follow-up rather than immediate dispatch.
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 home health care intake templates
Wound Care lead-intake FAQs
How does the intake handle wounds showing signs of infection?
The intake asks directly whether there's increased redness, odor, or drainage, so a wound with possible infection is flagged for review even if the family hasn't seen a clinician yet.
Can a family submit an intake if they're not sure what type of wound it is?
Yes — 'Not sure' is a valid option for wound type, so the lead still comes through and your clinical staff can follow up to clarify before an assessment.
What happens if the senior will be alone during care visits?
The intake captures who will be present, including 'senior will be alone,' which helps your team plan for whether a paid caregiver needs to be arranged alongside wound care.
Does the intake ask for photos of the wound?
Yes, families are prompted to upload photos so your clinical team has a visual reference alongside the wound type and infection-signs answers before scheduling.
How does the intake tell the difference between an urgent case and someone just researching?
The question on how soon care needs to start ranges from 'Immediately' to 'Just exploring options,' which lets you separate same-week dispatch needs from early-stage inquiries.
What if the wound hasn't been evaluated by a doctor or nurse yet?
The intake records this directly, so leads without a clinical evaluation are still captured but can be routed differently than cases where a wound care order already exists.
Turn wound care visitors into qualified patients
Give every wound care visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book front-desk time.