Lead capture forms
Embeddable forms · 4 active across all clinics
Free Nurse Pre-Screening — Everbloom
Lighter-touch entry form for prospects unsure if Everbloom is right for them.
78
submissions / mo
Everbloom·Active
Live preview
The Everbloom widget
Multi-step guided enquiry — replaces the plain HTML form currently on everbloom.com.au. Click below to see what your patients would experience.
Branded with Everbloom's colour. Adapts questions per clinic.
Why a guided widget vs a flat form
- Fewer drop-offs. Multi-step forms convert ~30% better than long flat forms because each step feels small.
- Qualified leads. The clinic gets the reason for the consultation upfront — staff can route directly to the right practitioner.
- Consent compliance built-in. 18+ confirmation, marketing consent, and OTP disclosure (Everbloom) are mandatory steps, not easy-to-miss checkboxes at the end.
- Drop-in embed. One snippet on the existing WordPress page. Replaces the current Elementor form without touching the rest of the site.
Embed snippet
Paste this into your site's HTML where you want the form to appear (everbloom.com.au).
<!-- Aivy Clinic Platform — Lead Form Embed -->
<script async src="/embed/form.js"></script>
<div data-aivy-form="gc-nurse-002"></div>