M Media Physical Therapy Contact Wizard is a professional multi-step lead capture plugin for physical therapy practices, built to collect the detailed patient and clinical information you actually need – without requiring a CRM subscription, form builder, or third-party service. The wizard walks visitors through structured steps covering condition type, cause of injury or pain, prior treatment or surgery, insurance coverage, and scheduling preferences. Every submission is stored in your WordPress dashboard and delivered to your inbox. No monthly fees. No lead-sharing. Your leads stay yours.
Generic contact forms collect a name and email. That is not enough to have a productive first conversation with a physical therapy patient. You need to know what they are being treated for, whether it is post-surgical recovery, a sports injury, or a chronic condition, and whether they have a physician referral or active insurance authorization before you can schedule the evaluation. M Media Physical Therapy Contact Wizard solves this by design. It gives every patient a guided, professional experience while giving you a complete intake record before you ever pick up the phone.
M Media Physical Therapist 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:
ptcw_lead) in the admin.wp_mail().Shortcodes:
[physicaltherapist_wizard] or [mmedia_physicaltherapist_wizard]
Place either shortcode on any page or post.
1. Upload the mmedia-contact-wizard-physical-therapist 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 [physicaltherapist_wizard] to any page.
[physicaltherapist_wizard][mmedia_physicaltherapist_wizard]$29.99
Perpetual License
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aiacw_lead) with a document grid in the admin view.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.
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.