Primary Care Intake Forms

Most start with a new patient form and an adult medical history, plus family history, social history, and a current medication list. Practices then add forms for each visit type: sick visits, annual physicals, chronic care follow-ups, and screening questionnaires.

Short standard screens are widely used: the PHQ-9 for depression (9 items), the GAD-7 for anxiety (7 items), and the AUDIT-C for alcohol use (3 questions). Each gives a score the clinician can discuss with the patient at the visit.

It is the questionnaire that goes with a Medicare annual wellness visit. CMS lists what it must cover at minimum, including self-rated health, psychosocial and behavioral risks such as tobacco and alcohol use, and activities of daily living.

No. Sports, school, and work physicals use forms set by the school, sports program, or employer, and they focus on clearance for one activity. An annual physical questionnaire covers overall health, history, and preventive care.

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 care team to review before the visit.

Start with the new patient form and the medication list, since every new patient needs them. Then add the forms for your most common visits, such as sick visits, annual physicals, and chronic care follow-ups.

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.