Verify from Your Website in Seconds
A customizable form you embed on your site or landing pages. A visitor enters insurance and contact details, submits, and VOBPro returns a verified eligibility result to your admissions team with the person's info. Your team has everything before they reach out, which is critical for behavioral health and mental health admissions.
See Webforms in ActionUsed by teams that take calls after hours, admit on weekends, and need fast answers when a patient is ready
Work from the Form Without the Busywork
Add the form to your site. A visitor submits insurance and contact info. Your team receives a verified eligibility result and the person's details right away inside VOBPro. No manual lookups. No phone tag.
Qualified Leads Ready for a Decision
Every submission includes verified eligibility so admissions can move forward with confidence.
Faster Response Times
Instant results let staff call back while interest is high, which reduces drop-offs.
Consistent Intake Handoffs
Eligibility details arrive in the same layout for billing and utilization review.
Route to the Right Team
Send leads to locations or programs, apply tags, and notify the correct staff.
Customizable and Secure
Embed verification forms that match your brand and capture qualified leads 24/7
Customizable embed code for any website
Instant VOB on form submission
Lead routing and team notifications
Mobile-responsive design
Required field validation
HIPAA-compliant data handling
Integration with your CRM
Custom branding and styling options
Ready to embed verification on your website?
Schedule a demo to see how Custom Webforms can capture and verify leads 24/7.
Book Your Demo