Dentistry Intake Forms
Every dental intake form a practice uses, explained: what each one asks and why.
From the new patient form and medical history to orthodontic, implant, and oral surgery questionnaires. Pick a form to see its questions.
Dentistry intake forms by area
Forms grouped by the area of dentistry that uses them. Every practice words its own forms differently; each page shows what a typical form asks.
- New patient forms 4
- Health screening 5
- Pediatric dentistry 5
- Prevention and gum care 4
- Orthodontics 3
- Cosmetic dentistry 2
- Implants and dentures 5
- Oral surgery 7
- Endodontics and trauma 3
- TMJ and facial pain 4
- Sleep and airway 3
- Oral medicine 2
New patient forms
4 forms- Dental health history update form Coming soon
- Dental medical history form
- Dental new patient form Coming soon
- Emergency dentist new patient form Coming soon
Health screening
5 forms- Bisphosphonate dental questionnaire Coming soon
- Dental antibiotic premedication questionnaire Coming soon
- Dental anxiety questionnaire Coming soon
- Pregnancy dental questionnaire Coming soon
- Special needs dental questionnaire Coming soon
Pediatric dentistry
5 forms- Child caries risk assessment form Coming soon
- Child dental health history form Coming soon
- First dental visit questionnaire (child) Coming soon
- Pediatric dental new patient form Coming soon
- Pediatric dental sedation health questionnaire Coming soon
Prevention and gum care
4 forms- Caries risk assessment questionnaire Coming soon
- Gum disease risk assessment questionnaire Coming soon
- Periodontal maintenance questionnaire Coming soon
- Periodontist new patient form Coming soon
Orthodontics
3 forms- Invisalign consultation form Coming soon
- Orthodontic new patient form Coming soon
- Orthodontic patient registration form Coming soon
Cosmetic dentistry
2 forms- Cosmetic dentistry consultation form Coming soon
- Teeth whitening questionnaire Coming soon
Implants and dentures
5 forms- Dental implant consultation form Coming soon
- Dental implant post-op check-in Coming soon
- Dental implant pre-operative questionnaire Coming soon
- Denture consultation form Coming soon
- Prosthodontist new patient form Coming soon
Oral surgery
7 forms- After tooth extraction questionnaire Coming soon
- Dental treatment under general anesthesia health history Coming soon
- Oral surgery anesthesia questionnaire Coming soon
- Oral surgery new patient form Coming soon
- Wisdom teeth recovery questionnaire Coming soon
- Wisdom teeth removal health questionnaire Coming soon
- Wisdom tooth extraction consent Coming soon
Endodontics and trauma
3 forms- Dental trauma questionnaire Coming soon
- Endodontic tooth pain questionnaire Coming soon
- Endodontist new patient form Coming soon
TMJ and facial pain
4 forms- Adult TMJ questionnaire Coming soon
- Child TMJ questionnaire Coming soon
- Neuropathic facial pain questionnaire Coming soon
- Orofacial pain questionnaire Coming soon
Sleep and airway
3 forms- Dental sleep apnea questionnaire Coming soon
- Pediatric sleep-disordered breathing questionnaire (dental) Coming soon
- Sleep apnea dentist new patient form Coming soon
Oral medicine
2 forms- Dry mouth questionnaire Coming soon
- Oral medicine new patient form Coming soon
Dentistry intake forms: FAQ
What intake forms does a dental practice use?
Most start with a new patient form and a dental medical history form. Specialist and procedure forms follow: orthodontic, implant, oral surgery, sleep apnea, and TMJ questionnaires. Returning patients often fill in a short health history update instead of the full form.
Is it the same as a dental medical history form?
Not quite. The intake form, or new patient form, collects contact, insurance, and visit details. The medical history form covers dental history, medications, allergies, conditions, and past surgeries. Many practices hand out both at the first visit.
Who fills in dental intake forms?
Adult patients fill in their own forms. For a child, a parent or legal guardian answers the history questions and signs the consent. A family member or caregiver often helps patients with special needs.
How are pediatric dental forms different?
A parent answers for the child. The forms ask about birth and growth, feeding and brushing habits, thumb sucking, and how past visits went. The ADA's children's health history form also asks about vaccination status. Sedation forms add questions about breathing and recent illness.
How does AI Doctor help a dental practice?
AI Doctor, a real-time AI healthcare assistant avatar, asks the intake questions as a conversation, in the patient's own language. It collects the answers for the dental team to review before the visit.
Which form should a new practice start with?
Start with the new patient form and the dental medical history form, because every patient needs them. Add specialist forms, such as orthodontic or implant consultation forms, as you offer those treatments.
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.
- 01Choose the AI Doctor avatar.
- 02Add your practice's FAQs and visit information.
- 03Talk to it, then publish it.
