Skip to content
Contact us

Pain Management New Patient Intake

What a pain management new patient intake asks, with sample questions for pain clinic staff.

A pain management new patient intake records pain location, onset, past tests and treatments, medicines, and social history before a first pain clinic visit. It's also called a pain management patient intake or a chronic pain new patient questionnaire.

Patient answering pain management new patient intake questions with the AI Doctor avatar at clinic check-in kiosks

Pain management new patient intake, handled by the AI Doctor avatar

AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a pain management new patient intake in the patient's own language, strictly following the practice's instructions.

Clinician reviewing a patient's pain management new patient intake 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 pain management new patient intake questions

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

  • When did this pain begin?Pain history
  • Did the pain begin gradually or suddenly?Pain history
  • What time of day is your pain worst?Pain description
  • Is your pain constant or intermittent?Pain description
  • Have you had an MRI for this pain?Imaging tests
  • Have you had a CT scan for this pain?Imaging tests
  • Has physical therapy helped your pain?Past treatments
  • Which pain procedures have helped you?Past treatments
  • Do you take a blood thinner?Medicines
  • Which pain medicines have you taken before?Medicines
  • What is your occupation?Social history
  • Are you receiving workers' compensation?Social history

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

Pain management new patient intake: FAQ

What does a pain management new patient intake ask?

The sample questions on this page are based on the Stony Brook Medicine pain center intake form and a multispecialty group's pain and spine form. This page groups them into six areas: pain history, pain description, imaging tests, past treatments, medicines, and social history.

Who fills in a pain management new patient intake?

A new patient. The Stony Brook Medicine form asks patients to check with the front desk if they have a question about any section.

Why does the practice ask for all this history?

The Stony Brook Medicine form says the paperwork helps its physicians and other providers get to know the patient and their medical history.

Is it the same as a chronic pain new patient questionnaire?

It can be. Tallahassee Memorial Healthcare's chronic pain clinic calls its version a New Patient History Form and adds a separate pain questionnaire.

Does it ask about the patient's goals?

Yes. The Stony Brook Medicine form asks what goals the patient wishes to achieve with pain management.

What happens after a pain management new patient intake is completed?

The practice's team reviews the answers before the first visit. AI Doctor collects them and doesn't advise on any medicine or therapy.

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 pain management new patient intake in Genesis AI Avatar Studio on a laptop