Flow
Custom intake pages for 
Give patients a custom intake page built around your practice. Agreed submission details go into LeadingReach’s Referral Hub + CRM, ready for your team to review and follow up. Keep the website and web team you already have.
Safe Secure Reliable HIPAA compliant See what each check meansYour own page, linked from the website you already have. Not a generic referral form, and no website rebuild required.
TMN checks the answers, maps the agreed details, delivers them, and keeps the connection running and up to date.
Referral Hub + CRM.Where your team receives and works the referral. Follow-up stays with your people.
3 steps, the same every time. The details your team needs arrive where they already work.
Your brand, your services and locations, your real intake questions. Easy to finish on a phone.
Illustration with synthetic data.
The agreed details arrive in LeadingReach’s incoming referral workflow, with no retyping. Branded notifications go to the people you choose.
Illustration with synthetic data, not the LeadingReach interface.
Supported details land in their own fields. The guardian, clinic preference, and other agreed context travel in the referral reason. The calls and scheduling stay with your people.
Illustration with synthetic data, not the LeadingReach interface.
Under 7 secondsfor every submission, from received application to delivered referral
100%of submitted applications delivered on the first attempt
0lost applications
Every submission in our pilot, from the connection’s launch on Aug 24 through Sep 29, 2026.
The intake review works through 3 questions with your numbers: inquiry volume, completion, time to first response, and scheduling capacity.
A practice-branded page with your services and locations, easy to finish on a phone. Source and form-progress reporting can show available campaign and referral sources and aggregate counts of where people stop on the form.
The agreed details reach LeadingReach with no retyping, and staff own the calls, scheduling, and follow-up. Each submission’s delivery is recorded with its status and attempts. The records hold no patient fields.
LeadingReach’s own referral workflow and reports stay in LeadingReach. Connecting inquiries to appointments, new patients, and recorded revenue needs the practice’s approved outcome data and a separately confirmed scope.
The reporting we design leaves out typed answers, patient identifiers, full page addresses, advertising pixels, and session replay.
Each page is built around the practice: its strengths, locations, insurance, and real intake questions. Every application then lands in LeadingReach.
Designed by Trevor Niemann of TMN Creative.
Sample intake page for a pediatric therapy practice. It asks for the child’s name, date of birth, diagnosis status, insurance, and preferred clinic.
Sample intake page for a behavioral health practice. It asks for the person’s name, date of birth, the kind of support they want, insurance, and preferred location.
Sample intake page for a speech and language practice. It asks for the child’s name and age, the family’s main concerns, how they heard about the practice, and preferred location.
Sample practices with synthetic content.
TMN’s demonstration of the connection: a family applies on a page built for the practice, and the referral arrives where the team already works.
Safe, Secure, Reliable, HIPAA compliant. See what each check means.
Illustrations use synthetic data.
Families have choices. Your website and your referral workflow should work together to help them choose your practice. Meet TMN Flow, custom intake pages for LeadingReach. Your team spends less time retyping applications and more time helping families take the next step.
Instead of a generic form and a plain email, families get a beautiful, custom intake page designed to convert, and it connects directly to LeadingReach’s Referral Hub and CRM. Each one lands as an incoming referral, mapped to your team’s fields and notes, so they can act immediately, without re-entry.
In our pilot, 100% of submissions were delivered on the first attempt, in 4 to 7 seconds. 0 lost.
LeadingReach reports that Training Wheels ABA now answers online inquiries in as little as 15 minutes, down from an hour.
In today’s fast-paced environment, speed and customer service are critical. You already pay to bring families to your website. TMN Flow works day and night to turn more of that traffic into inquiries. And custom reporting can show which marketing brings them in.
Safe, secure, reliable and HIPAA compliant. Every practice gets its own AWS environment under a signed BAA, encryption keys made for that practice alone, every application encrypted twice, and access locked down, even from us.
Book an intake review with TMN Creative and see how a custom intake page can connect your practice to LeadingReach.
The response-time result in this film is from LeadingReach’s published Training Wheels ABA story, separate from TMN’s delivery measurement.
You keep the website and web team you have. TMN builds the intake page, connects it to LeadingReach, and runs both every month, so there is no new software to learn.
For practices that keep their website. The page links from it or sits on a subdomain.
Need a new website too? TMN can rebuild it with the intake page included, as a separate scope.
Every TMN Flow launch runs in a dedicated AWS environment under a signed BAA, with encryption keys made for your practice alone, access locked down even from us, and every change on the record. See every security control
Nothing launches until your team approves in writing what is collected, where it is stored, who is notified, and how long it is kept.
Each application is encrypted twice, under keys made for your practice. Your system’s credentials stay on the server, and the public page has no CMS, plugins, or database to attack.
Every application is saved before it is sent, retried automatically, and recorded with its status and attempts.
BAA-covered AWS infrastructure, a signed BAA with every practice, and documented safeguards before patient data moves.
No. LeadingReach stays the Referral Hub + CRM where your team receives and works referrals. TMN Creative builds and manages the intake page and the connection into it.
Yes. The intake page links from the website you already have, or sits on a subdomain you approve. We coordinate the handoff with whoever manages your site today.
Through the API access LeadingReach approves for your account. TMN maps the agreed answers into supported referral fields and the referral reason, and confirms your account’s access during the review.
Every connection includes delivery records: each submission’s status and attempts, with no patient fields. Source and form-progress reporting is a custom option, scoped separately. Patient and revenue reporting requires approved outcome data. LeadingReach’s own reports stay in LeadingReach.
The people you choose. We send branded notification emails, tailored to your practice, to staff, leadership, or any combination. We confirm recipients and content with your team.
Each application is saved before it is sent, and every delivery attempt is recorded with its status.
Yes. Every launch runs on BAA-covered AWS infrastructure, with a signed BAA with your practice and documented safeguards in place before patient data moves.
Book an intake review with Trevor Niemann of TMN Creative. Your LeadingReach representative is welcome on the call. We look at your current form, inquiry volume, follow-up process, and reporting goals, then give you the scope and price in writing before any work begins.
A short call with Trevor Niemann of TMN Creative. Your LeadingReach representative is welcome to join. We look at your current form, inquiry volume, follow-up process, and reporting goals. You leave knowing where a connected intake page could help, how it would connect to your LeadingReach account, and the scope and price.
Opens Trevor Niemann’s calendar at TMN Creative.
Trevor Niemann
Founder, TMN Creative
TMN Creative builds and manages the page and the connection.
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