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Mohs Surgery Pre-Operative Questionnaire

What a Mohs surgery pre-operative questionnaire asks, the areas it covers, and sample questions for practice staff.

The Mohs surgery pre-operative questionnaire on this page covers the health details asked before Mohs surgery: heart conditions, implants, bleeding, immune health, and medications. It's also called Mohs pre-op paperwork.

Patient answering Mohs surgery pre-operative questionnaire questions with the AI Doctor avatar at clinic check-in kiosks

Mohs surgery pre-operative questionnaire, handled by the AI Doctor avatar

AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a Mohs surgery pre-operative questionnaire in the patient's own language, strictly following the practice's instructions.

Clinician reviewing a patient's mohs surgery pre-operative 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 Mohs surgery pre-operative questionnaire questions

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

  • Have you had a heart attack or stroke?Medical history
  • Do you have diabetes or liver disease?Medical 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
  • Is your immune system suppressed?Immune health
  • Have you had an organ transplant?Immune health
  • Which medicines and supplements do you take?Medications
  • Are you allergic to any medications?Medications
  • Do you currently smoke?Lifestyle
  • What is your occupation?Lifestyle

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

Mohs surgery pre-operative questionnaire: FAQ

What does a Mohs surgery pre-operative questionnaire ask?

The sample questions on this page are based on Desert Sky Dermatology's Mohs preoperative questionnaire. This page groups them into six areas: medical history, implants, bleeding, immune health, medications, and lifestyle.

Who fills in a Mohs surgery pre-operative questionnaire, and when?

The patient, before Mohs surgery. Desert Sky Dermatology asks for its form once a year, or sooner if the patient's health has changed.

What does the form ask about blood thinners?

Whether the patient bleeds easily, and whether they take over-the-counter medicines, supplements, or a prescribed medicine that thins the blood. The avatar records the answers and never advises stopping a medicine.

Is it the same as Mohs pre-op paperwork?

Yes. Desert Sky Dermatology publishes its Mohs pre-operative paperwork as an online form and as a printable questionnaire.

Is the consent form part of the Mohs surgery pre-operative questionnaire?

No. Desert Sky Dermatology lists its Mohs consent form as a separate document. The consent discussion and the signature stay with the surgeon.

What happens after the form is completed?

The practice's team reviews the answers before the visit and decides on any next steps. AI Doctor collects the answers and does not assess them.

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 mohs surgery pre-operative questionnaire in Genesis AI Avatar Studio on a laptop