Gastroenterology New Patient Questionnaire
What a gastroenterology new patient questionnaire asks, with sample questions on GI history, past tests, and family history.
A gastroenterology new patient questionnaire records the visit reason, digestive history, past GI tests, family history, and general health before a first gastroenterology visit. It's also called a GI health history questionnaire or a GI new patient form.
Gastroenterology new patient questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a gastroenterology new patient questionnaire 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 gastroenterology new patient questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- Why are you seeing a gastroenterologist?Visit reason
- Who referred you to our practice?Visit reason
- Have you ever had colon polyps?GI history
- Have you had heartburn, bloating, or belching?GI history
- When was your last colonoscopy, if any?Past tests
- Have you had an upper endoscopy or CT scan?Past tests
- Has a relative had colon cancer or polyps?Family history
- Which relative had that condition?Family history
- Which medical conditions do you have, like diabetes?Medical history
- Which prescription and over-the-counter medicines do you take?Medical history
- Do you smoke now, or did you before?Lifestyle
- How many alcoholic drinks do you have per week?Lifestyle
These are examples to read, not a form to fill in.
Gastroenterology new patient questionnaire: FAQ
What does a gastroenterology new patient questionnaire ask?
The sample questions here are based on a multispecialty clinic's gastroenterology questionnaire and a GI practice's new patient medical history questionnaire. This page groups them into six areas: visit reason, GI history, past tests, family history, medical history, and lifestyle.
Who fills in a gastroenterology new patient questionnaire, and when?
The patient, before the first visit with the gastroenterologist. The multispecialty clinic's form asks patients to fill it in at home before the appointment.
Is it the same as a GI health history questionnaire?
It can be. One practice's version is titled a new patient medical history questionnaire, and it opens with the visit reason and a history of gastrointestinal illness.
Does it ask about digestive illness in relatives?
Yes. Both source forms ask which relatives had colon cancer or polyps; one also lists colitis, Crohn's disease, ulcers, and liver, gallbladder, or pancreatic disease.
Is there a gastroenterology new patient questionnaire template?
The sample questions on this page show a typical set.
What happens after the form is completed?
The gastroenterologist's team reviews the answers before the first visit. AI Doctor only collects them; it does not interpret symptoms or past test results.
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.
