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Anticoagulation Clinic Questionnaire

What an anticoagulation clinic questionnaire asks, why each part matters, and how anticoagulation clinics collect it.

West Hertfordshire Teaching Hospitals prints a short anticoagulation clinic questionnaire on every appointment letter, asking about bleeding, missed doses, medicine changes, and hospital stays. It's also called a warfarin clinic check or an INR visit questionnaire.

Patient answering anticoagulation clinic questionnaire questions with the AI Doctor avatar at clinic check-in kiosks

Anticoagulation clinic questionnaire, handled by the AI Doctor avatar

AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on an anticoagulation clinic questionnaire in the patient's own language, strictly following the practice's instructions.

Clinician reviewing a patient's anticoagulation clinic questionnaire answers collected by the AI Doctor avatar
  • Intake before the visit. Patients answer online before they arrive, or at a kiosk when they check in.
  • Answers ready for the clinician. Clinicians see what the patient said before the visit starts.
  • Less workload at the front desk. Staff spend less time handing out forms and entering answers by hand.
  • Key details at a glance. The care team sees what matters up front and decides who needs attention first.

The form becomes a natural conversation: patients answer by talking, in their own words. AI Doctor is an information and patient-assistance interface. It collects answers for the care team to review. It doesn't diagnose, triage, or give treatment advice.

Sample anticoagulation clinic questionnaire questions

Typical questions, written out so you can see the level of detail. Every practice words its own form differently.

  • Have you had any bleeding since your last visit?Bleeding
  • Have you noticed blood in your urine or stool?Bleeding
  • Have you missed any doses since your last visit?Doses
  • Has another doctor changed your dose?Doses
  • Have you started any new medicines?Medicines
  • Are you taking any herbal or over-the-counter products?Medicines
  • Have you stayed in a hospital recently?Procedures
  • Do you have surgery or dental work planned?Procedures
  • Has the amount of alcohol you drink changed?Alcohol
  • How many alcoholic drinks do you have a week?Alcohol
  • Who can take a message about your medicine?Contact details
  • May we leave a message on your voicemail?Contact details

These are examples to read, not a form to fill in.

Anticoagulation clinic questionnaire: FAQ

What does an anticoagulation clinic questionnaire ask?

The questions on this page follow West Hertfordshire's anticoagulant clinic leaflet and the UC Davis patient package. They cover six areas: bleeding, doses, medicines, procedures, alcohol, and contact details.

Who fills in an anticoagulation clinic questionnaire, and when?

The patient, at each clinic visit. West Hertfordshire Teaching Hospitals prints a short questionnaire at the bottom of every appointment letter for patients to hand to staff.

Why does the clinic ask about new medicines?

West Hertfordshire's clinic asks patients to report any new medicine because an earlier blood test may be needed. UC Davis also asks patients to report herbal and over-the-counter changes.

Is it the same as a warfarin clinic check?

Yes, warfarin clinic check is another name for these visit questions. Each clinic's own protocol decides what it asks.

What does a new patient bring to an anticoagulation clinic?

West Hertfordshire's clinic asks new patients to bring a list of all medicines, including herbal remedies, and to share past operations and serious illnesses. UC Davis also asks for a signed agreement and a contact form.

What happens after an anticoagulation clinic questionnaire is completed?

The clinic's staff review the answers and decide on any dose change. AI Doctor only collects the answers and never advises on doses.

Does AI Doctor give medical advice?

No. It collects information for the care team. It doesn't diagnose, triage, or recommend treatment.

Can patient answers stay on our own servers?

Yes. RAVATAR offers on-prem deployment: the platform can run inside your own perimeter, so patient answers stay there. RAVATAR complies with GDPR and the EU AI Act.

Set up your AI Doctor in Genesis AI Avatar Studio

Genesis AI Avatar Studio is where you set up, test, and publish AI avatars for your website, mobile app, or Holobox. No coding or technical skills needed.

  1. 01Choose the AI Doctor avatar.
  2. 02Add your practice's FAQs and visit information.
  3. 03Talk to it, then publish it.
Setting up AI Doctor for the anticoagulation clinic questionnaire in Genesis AI Avatar Studio on a laptop