Every tooth extraction enquiry, scored before it hits your calendar
The intake asks whether a vet has already recommended extraction, how severe the pet's symptoms are, and whether the person filling it out can legally approve treatment, so a photo of the tooth arrives with the enquiry instead of after you've already offered a slot.
The exact intake your tooth extraction leads complete
This is the real 5-question guided intake for Tooth Extraction — the same flow your customers finish before you ever pick up the phone.
What a qualified tooth extraction lead should tell you
Surgical removal of a damaged, diseased, or severely worn tooth from a dog, cat, or other pet, typically needed when the animal is in visible pain, has a fractured tooth, or a vet has already flagged it during an exam.
- Animal Tooth Extraction
- Veterinarian Already Recommended Extraction
- Best Describes Pet'S Current
- Soon Have This Procedure
- Pet'S Owner Or Authorized
The questions your team needs answered
Every tooth extraction intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| What type of animal needs the tooth extraction? | The animal type tells your team whether to prep a standard canine or feline extraction protocol or flag a case that needs a different anesthesia and staffing plan. |
| Has a veterinarian already recommended extraction for this pet? | A prior vet recommendation signals an already-diagnosed, warmer case that's more likely to convert straight into a booked procedure. |
| Which best describes the pet's current dental symptoms? | This separates genuine pain emergencies and broken teeth from routine bad-breath or symptom-free enquiries that may not need surgery scheduled right away. |
| How soon are you hoping to have this procedure done? | Knowing whether the owner wants this handled immediately or is still exploring helps your scheduler decide which open slot, if any, to offer. |
| Are you the pet's owner or an authorized caregiver able to approve treatment? | Confirming the submitter can legally approve treatment protects the practice from booking a procedure with someone who isn't authorized to consent. |
How Cliont scores tooth extraction leads
Every answer is weighted automatically — no manual review required.
Value signals
- Veterinarian Already Recommended Extraction: yes
- Visible pain, swelling, or won't eat
- Bad breath or mild gum irritation
- No noticeable symptoms
- Pet'S Owner Or Authorized: yes
Urgency signals
- Broken or visibly damaged tooth
See the lead your team receives
Tooth Extraction 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 tooth extraction workflows
| Cliont capability | Tooth Extraction application |
|---|---|
| Weighted answer scoring | Combines the vet-recommendation answer with the symptom-severity selection so a vet-referred, actively painful pet outranks a self-reported broken tooth with no vet visit yet. |
| Photo and video capture widget | Collects a close-up of the tooth or mouth area at intake, so your team can assess a fracture or swelling before ever picking up the phone. |
| Consent and authorization checkpoint | Uses the owner/authorized-caregiver question to hold back leads where the submitter can't legally approve treatment, instead of sending them straight to your CRM as booking-ready. |
| CRM routing rules | Sends only pets with a confirmed authorized submitter and a clear symptom description into your CRM as extraction-ready, keeping exploratory or unauthorized enquiries in a follow-up queue. |
Common tooth extraction lead scenarios
Vet-referred, visibly painful case
A vet has already recommended extraction and the owner selects visible pain, swelling, or refusal to eat, so the intake pushes this straight to the top of the queue as a case ready to book.
Owner self-diagnosing a broken tooth
No vet has weighed in yet, but the owner reports a visibly broken tooth, giving your team a moderately high-priority case that still needs a look before scheduling surgery.
Caregiver without approval authority
Someone other than the pet's owner fills out the form and cannot confirm they're authorized to approve treatment, flagging the enquiry for a follow-up call before any booking happens.
No symptoms, exploring timing only
The pet shows no noticeable symptoms and the owner is still exploring options rather than ready to schedule, letting you route it toward a dental exam instead of blocking off extraction time.
Exotic or non-standard animal
The owner selects 'other animal' rather than dog or cat, which lets your team recognize a case outside your usual extraction workflow before a slot is offered.
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 pet dental care intake templates
Tooth Extraction lead-intake FAQs
Does the intake tell us if a vet has already recommended extraction?
Yes, one of the qualifying questions asks directly whether a vet has already recommended extraction for this pet, and that answer is weighted so already-diagnosed cases surface as higher priority than pets whose owners are just starting to investigate.
How does the form separate an emergency from a routine wear-and-tear case?
Owners choose from a set of symptom descriptions ranging from visible pain, swelling, or refusal to eat down to no noticeable symptoms at all, and each option carries a different weight so genuine emergencies stand out from cosmetic or preventive requests.
What happens if the person submitting the form isn't the pet's owner?
The intake asks whether the submitter is the owner or an authorized caregiver able to approve treatment, and a 'no' answer is weighted low so those cases get flagged for a confirmation call rather than booked straight onto the schedule.
Can the intake distinguish between dogs, cats, and other animals?
Yes, the first question asks what type of animal needs the extraction, so your front desk knows before the call whether they're prepping for a routine canine or feline case or something outside standard extraction protocol.
Does the form ask how soon the owner wants the procedure done?
Yes, owners select whether they want the extraction as soon as possible, within a few weeks, or are still exploring options, which helps your scheduler decide whether to offer the next open slot or a later one.
What if a pet has no symptoms but the owner just wants to talk about extraction?
The 'no noticeable symptoms' option is the lowest-weighted symptom answer, so those enquiries still reach your CRM but score lower, letting you decide whether a dental exam is a better first step than booking surgery.
Turn tooth extraction visitors into qualified patients
Give every tooth extraction visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book front-desk time.