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Lead Capture

Count every demo request and qualify the clinic before the first call.

This static lead form saves submissions in the browser, increments the lead count, triggers an analytics event, and prepares a sales email with the clinic details.

0
leads captured here
1
sales handoff email
Qualified clinic size and priority workflow
Local lead count for quick testing and demos
dataLayer event ready for GTM or analytics
Email-ready lead summary for manual follow-up

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Share the basics and we will help map the right rollout for your clinic.