Lead Capture Form for Healthcare Providers
Turn website visitors into leads. Every form submission triggers an instant WhatsApp alert so you can follow up while interest is hot. Built for healthcare administrators and staff — set up in minutes, no code required.
Tired of phone-based intake and scheduling bottlenecks?
Flowvi replaces the chaos with a single clean lead capture form — patients fill it out in seconds, and you get an instant Email notification with all the details. No more missed leads.
What's in a Lead Capture Form for Healthcare Providers?
A typical lead capture form for healthcare providers includes these fields — all customisable in Flowvi's drag-and-drop builder.
+ 15 additional field types including file uploads, dropdowns, date pickers, and rating scales.
Everything your healthcare provider needs
Flowvi handles the entire workflow — from patient submission to team notification to data export.
Instant Email Alerts
Get a Email message the moment a patient submits a lead. Never miss a new lead again.
Auto-Export to Google Sheets
Every lead is automatically appended to a Google Sheet. Share with your team, filter, and analyse — no manual copy-paste.
No-Code Setup
Healthcare administrators and staff can build a professional lead capture form in minutes — drag fields, add your logo, publish.
Mobile-Friendly by Default
Your form looks great on any device. Patients can fill it out from their phone, tablet, or desktop — no app download required.
Spam & Abuse Protection
Built-in rate limiting and input validation keep your form protected from spam and abuse — no CAPTCHA plugins needed.
CSV / Excel Export
Download all your leads as a CSV or Excel file at any time from your Flowvi dashboard. Perfect for reporting.
Live in 3 steps
Pick a template
Choose the lead capture form template and customise the fields, colours, and logo for your healthcare provider.
Connect Email
Add your Email number (or email / Slack channel) and Flowvi will notify you instantly for every lead.
Share the link
Share your form URL on your website, social profiles, WhatsApp, or as a QR code. Patients fill it out instantly.
Frequently asked questions
- How do I create a lead capture form for my healthcare provider?
- Sign up for Flowvi, choose a lead capture form template, and customize the fields for your healthcare provider. Your form is live in minutes — no code required.
- Can I get a Email notification when someone submits the form?
- Yes. Flowvi connects directly to Email so you receive an instant alert every time a patient submits a lead. You can also forward leads to WhatsApp.
- Is this lead capture form template free for healthcare providers?
- Flowvi's free plan lets you capture up to 100 leads per month — perfect to get started. Paid plans from $9/month unlock higher volumes, custom branding, and priority support.
- Can I export leads to a spreadsheet?
- Absolutely. Every lead is automatically appended to Google Sheets in real time, and you can download a CSV export at any time from your Flowvi dashboard.
- Do patients need an account to fill in the form?
- No. Your lead capture form is a public link — patients just open it in any browser and submit. No sign-up or app download is needed on their side.
Ready to build your lead capture form?
Join thousands of healthcare administrators and staff who use Flowvi to capture leads and prospect contact information — for free.
Capture leads freeFree plan available · No credit card required