Fertility Clinic New Patient Intake
What a fertility clinic new patient intake asks, with sample questions on registration, insurance, and fertility history.
The fertility clinic new patient intake on this page covers registration for each partner, referral, insurance, and fertility and health history before the first consultation. It's also called a fertility new patient packet or a fertility consultation intake.
Fertility clinic new patient intake, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a fertility clinic new patient intake 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 fertility clinic new patient intake questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- What name would you like us to use?Patient details
- What pronouns do you use?Patient details
- What is your partner's name?Partner details
- What is your partner's date of birth?Partner details
- Did a physician refer you to the practice?Referral
- Who is your OB/GYN?Referral
- Will you use insurance or pay for yourself?Insurance
- Are you covered by any other insurance?Insurance
- How long have you been trying to get pregnant?Fertility history
- Have you been treated at another fertility practice?Fertility history
- Which medicines and supplements do you take?Health history
- Have you had problems with anesthesia?Health history
These are examples to read, not a form to fill in.
Fertility clinic new patient intake: FAQ
What does a fertility clinic new patient intake ask?
The sample questions on this page are based on the Boston IVF Patient Registration Form and the Northwestern Medicine New Patient Health History Form. This page groups them into six areas: patient details, partner details, referral, insurance, fertility history, and health history.
Who fills in the fertility clinic new patient intake, and when?
Boston IVF asks each partner to complete a registration form and return it at least one week before the consultation. Northwestern Medicine asks for its new patient forms one week before the appointment.
Why does the intake ask about the partner?
The Northwestern Medicine form includes the partner's medical, surgical, and social history where it applies. Its new patient page suggests bringing a partner to the first visit so history can be taken from both.
Is a fertility new patient packet one form or several?
It can hold several. Northwestern Medicine asks for a health history form and a preoperative history form, while Boston IVF uses one registration form per partner.
Does it ask about earlier fertility tests?
Yes. The Northwestern Medicine form asks about an earlier semen analysis, HSG, pelvic ultrasounds, and hormone tests such as AMH, with dates and results.
What happens after the fertility clinic new patient intake is completed?
The practice's team reviews the answers before the visit. The avatar collects the answers and does not interpret test results or give advice.
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.
