Cosmetic Dentistry Consultation Form
What a cosmetic dentistry consultation form asks, why each part matters, and how dental practices collect it.
A cosmetic dentistry consultation form records what a patient dislikes about the look of their teeth and what they want to change. It's also called a smile assessment form.
Cosmetic dentistry consultation form, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a cosmetic dentistry consultation form in the patient's own language, strictly following the practice's instructions.
- 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 cosmetic dentistry consultation form questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- How would you rate your smile, 1 to 10?Overall
- Are you self-conscious about your teeth or smile?Overall
- Do you like the color of your teeth?Color
- Would you like your teeth to be whiter?Color
- Are any teeth crooked, crowded, or turned?Alignment
- Do spaces between your teeth bother you?Alignment
- Are any edges worn, chipped, or uneven?Shape
- Do any teeth look too small or too long?Shape
- Does old dental work look unnatural to you?Past work
- Are you missing any teeth?Past work
- What would you change about your smile?Goals
- Which cosmetic options would you like to learn about?Goals
These are examples to read, not a form to fill in.
Cosmetic dentistry consultation form: FAQ
What does a cosmetic dentistry consultation form ask?
It covers six areas: the smile overall, tooth color, alignment and spacing, shape and wear, past dental work, and the patient's goals.
Who fills in a cosmetic dentistry consultation form, and when?
The patient, before or at the first cosmetic visit. It can also sit inside the new patient paperwork, so the dentist reads it before the exam.
Why does a cosmetic dentist need it?
It records what the patient dislikes and what they want to change, in their own words. The dentist then matches options to those goals instead of guessing.
Is it the same as a smile assessment?
Yes. Smile assessment is another name for the same short questionnaire about the look of the teeth.
Is there a standard cosmetic dentistry consultation form?
The sample questions on this page show a typical set. Forms range from a few open questions to a longer yes or no checklist.
What happens after the form?
The dentist discusses the answers at the consultation and examines the teeth. The form is a starting point for that conversation, not a treatment plan.
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.
