Mohs Surgery Consent Form
What a Mohs surgery consent form covers, who signs it, and the health questions asked before it.
The Mohs surgery consent form described here, from Desert Sky Dermatology, lists possible complications of the surgery and records that the patient agrees to Mohs surgery and repair. It's also called a Mohs consent form.
Before the Mohs surgery consent form: health questions, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, can collect the patient's health information before the Mohs surgery consent form, in their own language. The consent discussion and the signature stay with the surgeon.
- 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 questions before the Mohs surgery consent form
Typical health and planning questions a practice asks before the consent discussion. Every practice words its own forms differently.
- Have you had diabetes, hepatitis, or a stroke?Health history
- Are you pregnant or nursing?Health history
- Do you have a pacemaker or defibrillator?Implants
- Do you have artificial joints or heart valves?Implants
- Do you bleed easily?Bleeding
- Do you take a prescribed blood thinner?Bleeding
- Which medications and supplements do you take?Medications
- Are you allergic to any medications?Medications
- Do you currently smoke?Lifestyle
- How many alcoholic drinks do you have per day?Lifestyle
- Who will drive you home after surgery?Ride home
- Who will come with you on surgery day?Ride home
These are examples to read, not a form to fill in.
Mohs surgery consent form: FAQ
What does a Mohs surgery consent form ask?
The Desert Sky Dermatology form lists possible complications and asks the patient to confirm they read it and agree to Mohs surgery and repair. The sample questions, from the same practice's Mohs pre-operative paperwork, fall into six areas: health history, implants, bleeding, medications, lifestyle, and ride home.
What risks does a Mohs surgery consent form list?
The Desert Sky Dermatology form lists pain, infection, bleeding, swelling, hematoma, scarring, wound reopening, and flap or skin graft failure. It also lists temporary or permanent nerve damage, which may mean loss of feeling or paralysis, changes to nearby features, temporary or permanent hair loss, and tumor recurrence. The form says complications are not limited to this list. The physician reviews them with the patient.
Who signs the form, and when?
The patient, once the practice says to; the Desert Sky form tells patients not to sign until instructed. It ends with a statement that the provider explained the procedure, its benefits, and its risks.
Can AI Doctor take the consent?
No. The avatar only collects health information before the consent discussion. The discussion and the signature stay with the Mohs surgeon.
What else does the Mohs consent form cover?
At Desert Sky Dermatology, it also covers photographs before, during, and after surgery, the handling of removed tissue, and medicine for pain or sedation. The patient confirms the surgical site and is advised to have someone drive them home.
Is there a Mohs surgery consent form template?
The sample questions on this page show a typical set of health questions asked before it. The consent wording itself is the practice's own.
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.
