Lead capture forms
Embeddable forms · 1 active across Bluegum
New Patient Enquiry — Bluegum
Initial enquiry form for Bluegum, currently being prepared for launch.
14
submissions / mo
Bluegum·Active
Live preview
The Bluegum widget
Multi-step guided enquiry — replaces the plain HTML form currently on bluegummedical.com.au. Click below to see what your patients would experience.
Branded with Bluegum'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 (bluegummedical.com.au).
<!-- Aivy Clinic Platform — Lead Form Embed -->
<script async src="/embed/form.js"></script>
<div data-aivy-form="vv-enq-001"></div>