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Overview – Full Lead Capture & Consent Process

Complete lead capture and consent flow

Step 1: Lead Capture Flow with TCPA Compliance

User Flow:

  • User enters lead info (first name, last name, email, zip, phone, etc)
  • Phone number is the last field before the consent checkbox
  • TCPA checkbox and consent language are displayed below the phone field

Example TCPA Consent Language (Required):

By clicking submit below, I electronically sign and agree to the Privacy Policy (California Privacy Policy) and Terms of Use. I provide mandatory affirmative consent, and my phone number will be provided to a licensed insurance producer from Mutual of Omaha Insurance Company at the phone number above, regarding my express request, if provided, for information about products and services. I may receive pre-recorded or artificial voice messages, automated dialing technology, or artificial intelligence. I understand that my agreement to be contacted is not a condition of any purchase. Message and data rates may apply. Message frequency may vary. Reply STOP to 53546 to cancel. Reply HELP to 53546 for help.

Intake Consent Form

Step 2: User Submits Form

Data Capture & Consent Verification

When the user clicks submit:

  • The following is captured:
    • Lead data (name, email...)
    • Timestamp & IP address
    • Consent URL (e.g., https://racerbrand.com/start/abc-race) - the URL where consent was given
    • ActiveProspect TrustedForm certificate URL - the URL of the video recording
  • The ActiveProspect script records the session, creating a video snapshot of the consent event.
  • All data is sent in real time to the receiving system for lead capture and tracking.
TrustedForm Shield

Certificate of Authenticity

ID: 32cc694e-f605-bd62-a133-1ab7565bf73c

trustedform

by activeprospect

When did they visit?

Visit date/time:July 31, 2025 1:15 PM EDT
Time on page:28 seconds

Where did they visit?

Who visited?

Remote IP Address:73.15.XX.XX
Browser / OS:Chrome / MacOS

TrustedForm captures a copy of the web page and user events that took place...

Step 3: User Takes Face Scan

Biometric & Health Data Collection

Data from the scan:

Personal Information:

Name:Jane Doe
Age:35
Sex:Female
DOB:1988-01-01
Email:patient@example.com
Phone:1234567890
Zip:12345
Location:New York, New York

Vital Signs:

Blood Pressure:132/86 mmHg
Status:Elevated
Heart Rate:72 BPM
Status:Normal
Breathing Rate:17 BPM
Status:Normal
Oxygen Sat:92%
Status:Low
HRV:64 ms
Status:Very Good
Stress Index:Low

Health Scores:

Health Credit Score (Overall Health):770/850(Very Good)
Activity:705/850(Good)
Sleep:825/850(Excellent)
Equilibrium:680/850(Good)
Metabolism:625/850(Fair)
Relaxation:795/850(Excellent)

Additional Details:

Height:5'8"
Weight:112 lbs
Smoker:Current
Diabetic:None
Hypertension:No
BP Medication:No
Contact Consent:✓ Yes
Assessment:✓ Completed
Form:✓ Completed
IP Address:192.168.0.1
UUID: 11884643-42a0-499c-bafd-2b9a9617a5a6
Face Scan Analysis
Scan Complete