ENT Intake Forms

Most start with a new patient questionnaire covering symptoms, past ear, nose, and throat problems, surgeries, medicines, and allergies. Problem-specific forms then go deeper, for example on hearing loss, dizziness, sinus symptoms, hoarseness, or a neck lump. Surgical patients also get pre-op and post-op forms.

In practice the terms overlap. An intake form usually collects history and current symptoms before a visit. A questionnaire often means a scored tool, such as SNOT-22 for sinus symptoms or the Dizziness Handicap Inventory, which practices repeat over time to track change.

Common ones include SNOT-22, a 22-item sinonasal symptom test, the 25-item Dizziness Handicap Inventory, and EAT-10, a 10-item swallowing screen. Practices also use hearing, tinnitus, and voice handicap inventories. Each has its own scoring, so the form page explains what it asks.

Adult patients fill in their own forms. For children, a parent or guardian answers, often with details only they know, such as snoring at night, ear infections, or feeding problems in an infant. The ENT team reviews the answers before or during the visit.

They ask about birth history, development, speech, school, and how often a child has ear infections or sore throats. Snoring and breathing during sleep get their own questions. Forms for tonsil or ear tube consultations focus on how often problems recur and how they affect daily life.

AI Doctor, a real-time AI healthcare assistant avatar, asks the intake questions as a conversation, in the patient's own language, and collects the answers for the team to review before the visit. It does not diagnose, triage or give medical advice.

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

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.