Orthopedics Intake Forms
Every orthopedic intake form a practice uses, explained: what each one asks and why.
From the new patient form and pain diagram to knee, hip, shoulder, spine, and pediatric questionnaires. Pick a form to see its questions.
Orthopedics intake forms by area
Forms grouped by the area of orthopedics that uses them. Every practice words its own forms differently; each page shows what a typical form asks.
- General orthopedics 7
- Knee 8
- Hip 5
- Shoulder 7
- Spine 6
- Hand, wrist and elbow 5
- Foot and ankle 1
- Sports medicine and injury 6
- Surgery and joint replacement 3
- Pediatric orthopedics 9
- Bone health and tumors 2
General orthopedics
7 forms- Orthopedic follow-up questionnaire Coming soon
- Orthopedic medical history form Coming soon
- Orthopedic new patient form Coming soon
- Orthopedic returning patient form Coming soon
- Orthopedic second opinion intake Coming soon
- Orthopedic virtual visit intake Coming soon
- Pain diagram orthopedic intake Coming soon
Knee
8 forms- ACL post-op questionnaire Coming soon
- ACL surgery pre-operative questionnaire Coming soon
- Knee arthroscopy post-op questionnaire Coming soon
- Knee pain new patient questionnaire Coming soon
- KOOS questionnaire Coming soon
- Meniscus surgery pre-op questionnaire Coming soon
- Total knee replacement post-op questionnaire Coming soon
- Total knee replacement pre-operative questionnaire Coming soon
Hip
5 forms- Hip arthroscopy pre-op questionnaire Coming soon
- Hip pain new patient questionnaire Coming soon
- Hip replacement pre-operative questionnaire Coming soon
- HOOS questionnaire Coming soon
- Total hip replacement post-op questionnaire Coming soon
Shoulder
7 forms- DASH questionnaire Coming soon
- Rotator cuff repair post-op questionnaire Coming soon
- Rotator cuff surgery pre-op questionnaire Coming soon
- Shoulder instability questionnaire Coming soon
- Shoulder pain new patient questionnaire Coming soon
- Shoulder replacement post-op questionnaire Coming soon
- Shoulder replacement pre-op questionnaire Coming soon
Spine
6 forms- Back pain new patient questionnaire Coming soon
- Cervical spine pre-treatment questionnaire Coming soon
- Lumbar spine pre-treatment questionnaire Coming soon
- Oswestry disability questionnaire Coming soon
- Spinal fusion post-op questionnaire Coming soon
- Spinal fusion pre-operative questionnaire Coming soon
Hand, wrist and elbow
5 forms- Carpal tunnel questionnaire Coming soon
- Carpal tunnel release post-op questionnaire Coming soon
- Carpal tunnel surgery pre-op questionnaire Coming soon
- Elbow pain new patient questionnaire Coming soon
- Hand surgery new patient form Coming soon
Foot and ankle
1 form- Foot and ankle new patient form Coming soon
Sports medicine and injury
6 forms- Auto accident orthopedic intake Coming soon
- Fracture clinic new patient Coming soon
- Orthopedic urgent care intake Coming soon
- Sports injury questionnaire Coming soon
- Sports medicine new patient form Coming soon
- Workers compensation orthopedic intake Coming soon
Surgery and joint replacement
3 forms- Frailty screening before joint replacement Coming soon
- Joint replacement discharge planning questionnaire Coming soon
- Orthopedic pre-operative questionnaire Coming soon
Pediatric orthopedics
9 forms- Child walking problem orthopedic intake Coming soon
- Clubfoot clinic intake Coming soon
- Hip dysplasia intake Coming soon
- Pediatric fracture clinic intake Coming soon
- Pediatric orthopedic intake form Coming soon
- Perthes disease questionnaire Coming soon
- SCFE questionnaire Coming soon
- Scoliosis intake questionnaire Coming soon
- SRS-22 questionnaire Coming soon
Bone health and tumors
2 forms- Orthopedic oncology new patient Coming soon
- Osteoporosis new patient questionnaire Coming soon
Orthopedics intake forms: FAQ
What intake forms does an orthopedic practice use?
Most practices start with a new patient form, a medical history form and a pain diagram. Then come forms for the body part being treated, such as the knee, hip, shoulder or spine, plus questionnaires before and after surgery.
Is an orthopedic intake form the same as a medical history form?
Not quite. The intake form covers the visit: the problem, when it started, how it happened and what makes it worse. The medical history form covers past conditions, surgeries, medicines and allergies. Many practices combine the two in one packet.
What are KOOS, HOOS and Oswestry questionnaires?
They are scored questionnaires that patients fill in themselves. KOOS covers knee pain, symptoms, daily function, sport and quality of life; HOOS does the same for the hip. The Oswestry questionnaire measures how back pain limits daily activities. Practices repeat them over time to track progress.
Why do injury cases need their own forms?
Sports injuries, auto accidents and work injuries need details a routine visit does not: how and where the injury happened, who else is involved, and for work or auto cases, claim and employer details. Separate forms keep these questions out of every other visit.
How does AI Doctor help an orthopedic practice?
AI Doctor, a real-time AI healthcare assistant avatar, asks the intake questions as a conversation, in the patient's own language. It collects the answers for the team to review before the visit, so staff spend less time chasing missing details.
Which form should a new orthopedic practice start with?
Start with the orthopedic new patient form and the medical history form, since every patient needs them. Add a pain diagram next, then the forms for the body areas and surgeries your practice sees most.
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.
