Healthcare
Clinic Appointment Request
Request a clinic visit with one question at a time.
Why use this template
Physiotherapy scheduling needs more than a name and a phone number. This form asks which session they want, how long it should be, when they are usually free, and whether the visit is in the studio or virtual. Each answer is its own screen, so the request stays short. Customize the session menu for your clinic and publish it beside your class or treatment pages.
Part of Formgrid’s healthcare form templates workflow for organised enquiries and lead capture.
- Session type, length, and place on separate screens
- A free window plus an earliest start date
- Works for studio visits and virtual sessions
- Follow up from the Formgrid pipeline
What this template collects
- Session type and length
- Usual free window
- Earliest start date
- In person or virtual
- Optional scheduling note
- Name, email, and phone
- Booking confirmation
Who this template is for
Physiotherapy and movement studios booking first sessions and return visits.
Formgrid features included
- One question on each screen, with a welcome page and a thank you page
- Email notification when a request arrives
- Lead pipeline with New, Contacted, and Converted
- Spam protection on every submission
- Shareable link, or embed the form on your website
- Free to customize. No code required
How it works
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1
Open the live preview and walk through the questions.
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2
Choose Customize Free and edit the wording, colors, and fields.
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3
Publish a link or embed the form on your clinic website.
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4
Each submission lands in Formgrid so your team can follow up.
Live preview
Click through the form, then customize the questions for your own copy.
Frequently asked questions
Can I offer both studio and virtual sessions?
Yes. The form already asks where the session should happen, and you can edit those choices.
Can I add my own session names?
Yes. Customize every question and answer before you publish.
What happens after someone submits?
You get the request in Formgrid, with an email notification, and you can move it through your pipeline.