Contact Wizard – Personal Injury Attorney Lead Form

Purpose-Built Personal Injury Lead Capture for WordPress

M Media Personal Injury Contact Wizard is a professional multi-step lead capture plugin for personal injury attorneys, built to collect the detailed accident and injury information you actually need – without requiring a CRM subscription, form builder, or third-party service. The wizard walks visitors through structured steps covering accident type, injury description, liability situation, medical treatment status, and prior attorney contact. Every submission is stored in your WordPress dashboard and delivered to your inbox. No monthly fees. No lead-sharing. Your leads stay yours.

Why M Media Personal Injury Contact Wizard Exists

Generic contact forms collect a name and email. That is not enough to have a productive first conversation with a personal injury prospect. You need to know the accident type, whether liability is clear, what injuries are involved, whether they are receiving medical treatment, and whether the statute of limitations is approaching before you can assess case value or urgency. M Media Personal Injury Contact Wizard solves this by design. It gives every prospect a guided, professional experience while giving you a complete intake record before you ever pick up the phone.

M Media Personal Injury Attorney Wizard replaces a flat contact form with a guided quote-request wizard tailored to this service category.

Why a wizard?

A flat contact form asks for minimal information. This wizard qualifies the lead before your team follows up, so you spend time on serious prospects instead of incomplete requests.

What it does:

  • 5-step guided wizard – Collects request details, scope information, contact data, and confirmation in a structured flow.
  • Lead qualification – Captures the details your team needs up front so follow-up can be faster and more accurate.
  • Optional reference uploads – Supports customer file/image uploads when enabled in the plugin flow.
  • HTML email notifications – Your team receives a branded summary email with submitted details.
  • Lead management – Every submission is stored as a WordPress custom post type (piacw_lead) in the admin.
  • Fully customizable – Change intro text, success message, notification email, and question labels from settings.
  • SMTP support – Configure SMTP delivery or fall back to wp_mail().
  • Spam protection – Honeypot field plus minimum submission time checks.

Shortcodes:

[personalinjuryattorney_wizard] or [mmedia_personalinjuryattorney_wizard]

Place either shortcode on any page or post.

Installation

1. Upload the mmedia-contact-wizard-personal-injury-attorney folder to /wp-content/plugins/.

2. Activate the plugin through Plugins -> Installed Plugins.

3. Go to the plugin settings page in WordPress admin to configure notification email and wizard options.

4. Add [personalinjuryattorney_wizard] to any page.

Requirements

  • WordPress 5.8+
  • Tested up to WordPress 6.9
  • PHP 7.4+

Shortcodes

  • [personalinjuryattorney_wizard]
  • [mmedia_personalinjuryattorney_wizard]

$29.99

Perpetual License

SSL Secure
Stripe
PayPal
Money-Back Guarantee
Subscription Hell
  • • Payment fails? App stops
  • • Need online activation
  • • Forced updates
  • • Data held hostage
M Media Way
  • • Buy once, own forever
  • • Works offline
  • • Optional updates
  • • You control your data

Simple Licensing. No Games.

We don't believe in dark patterns, forced subscriptions, or holding your data hostage. M Media software products use clear, upfront licensing with no hidden traps.

You buy the software. You run it. You control your systems.

Licenses are designed to work offline, survive reinstalls, and respect long-term use. Updates are optional, not mandatory. Your tools don't suddenly stop working because a payment failed or a server somewhere changed hands.

One-time purchase, lifetime access
No "cloud authentication" breaking your workflow
Upgrade when you want to, not when we force you
Software empowers its owner — not rent itself back
Tracking Scripts
Telemetry Services
Anonymous Statistics
Your Privacy

No Bloat. No Spyware. No Nonsense.

Modern software has become surveillance dressed as convenience. Every click tracked, every behavior analyzed, every action monetized. M Media software doesn't play that game.

Our apps don't phone home, don't collect telemetry, and don't require accounts for features that should work offline. No analytics dashboards measuring your "engagement." No A/B tests optimizing how long you stay trapped in the interface.

We build tools, not attention traps.

The code does what it says on the tin — nothing more, nothing less. No hidden services running in the background. No dependencies on third-party APIs that might disappear tomorrow. No frameworks that require 500MB of node_modules to display a button.

Your data stays on your device
No "anonymous" usage statistics
Minimal dependencies, fewer risks
Respects CPU, RAM, and battery