Body Contouring Consultation Form
What a body contouring consultation form asks, with sample questions on weight history, areas of concern, goals, and health.
A body contouring consultation form records weight history, body areas of concern, goals, medicines, and habits before a consultation for liposuction, abdominoplasty, or similar procedures. Kaiser Permanente's Santa Rosa plastic surgery department calls its version a body contour surgery patient worksheet.
Body contouring consultation form, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a body contouring consultation form 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 body contouring consultation form questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- What are your current, heaviest, and lightest weights?Weight history
- How has weight loss or gain affected these areas?Weight history
- Which areas of your body concern you?Body areas
- Do you get rashes in skin folds?Body areas
- What do you hope to achieve from surgery?Goals
- Are other procedures planned at the same time?Goals
- Have you taken herbal medicines in the past month?Medications
- Have you ever taken cortisone or steroids?Medications
- Do you form keloids or severe scars?Health history
- Have you been pregnant, and how many times?Health history
- Do you use tobacco, and how much?Habits
- Do you drink alcohol, and how much?Habits
These are examples to read, not a form to fill in.
Body contouring consultation form: FAQ
What does a body contouring consultation form ask?
The sample questions on this page are based on the Kaiser Permanente Santa Rosa body contour surgery patient worksheet. This page groups them into six areas: weight history, body areas, goals, medications, health history, and habits.
Who fills in a body contouring consultation form?
The patient, for the consultation visit. The Kaiser Permanente worksheet is shared by its plastic surgery and cosmetic services departments in Santa Rosa.
Which concerns does it list?
The worksheet lists concerns such as the look of the abdomen, a weak abdomen, and areas that do not respond to diet or exercise. It also lists rash in skin folds, cellulite, and difficulty buying clothes.
Does it ask about pregnancies?
Yes. The worksheet asks whether the patient has been pregnant and how many times, and about any hormones taken, including birth control.
Is there a body contouring consultation form template?
The sample questions on this page show a typical set, taken from one health system's worksheet.
What happens after the form is completed?
The surgeon reviews the answers at the consultation. AI Doctor only collects them; it does not suggest procedures.
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.
