Purpose-Built Physical Therapy Lead Capture for WordPress
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.
Why M Media Physical Therapy Contact Wizard Exists
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:
- 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 (
ptcw_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:
[physicaltherapist_wizard] or [mmedia_physicaltherapist_wizard]
Place either shortcode on any page or post.
Installation
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.
Requirements
- WordPress 5.8+
- Tested up to WordPress 6.9
- PHP 7.4+
Shortcodes
[physicaltherapist_wizard][mmedia_physicaltherapist_wizard]