General Surgery New Patient Forms
What general surgery new patient forms ask, with sample questions on the reason for the visit, medical history, and medicines.
General surgery new patient forms record the visit reason, referring doctor, medical history, medicines, family history, and lifestyle before a first surgical visit. The questions here are based on the UCLA Santa Monica General Surgery health history form and Grand River Health's general surgery new patient form.
General surgery new patient forms, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on general surgery new patient forms 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 general surgery new patient forms questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- What is the main reason for your visit?Visit reason
- When did you first notice this problem?Visit reason
- Which doctor referred you to us?Referral
- Who is your primary care doctor?Referral
- Have you had high blood pressure or diabetes?Medical history
- Which surgeries have you had, and when?Medical history
- Which medicines, vitamins, and supplements do you take?Medicines
- Are you allergic to any medicines or foods?Medicines
- What serious illnesses run in your family?Family history
- Has a relative had problems with anesthesia?Family history
- Do you smoke, or did you smoke before?Lifestyle
- Who lives at home with you?Lifestyle
These are examples to read, not a form to fill in.
General surgery new patient forms: FAQ
What do general surgery new patient forms ask?
The sample questions on this page are based on the UCLA Santa Monica General Surgery health history form and Grand River Health's general surgery form. This page groups them into six areas: visit reason, referral, medical history, medicines, family history, and lifestyle.
Who fills them in, and when?
The patient, before the first visit with the surgeon. The UCLA form says the answers are confidential and become part of the medical record.
Do the forms ask about the referring doctor?
Yes. Both forms ask who referred the patient, and the UCLA form ends with an authorization to share records with the referring physicians.
Do they ask about family history?
The UCLA form asks whether thyroid disease, cancer, excessive bleeding, or difficulty with anesthesia runs in the family. The Grand River Health form asks for serious illnesses in close family.
Is there a template?
The sample questions on this page show a typical set. Both source forms also add a checklist of symptoms by body system.
What happens after general surgery new patient forms are completed?
The surgeon's team reviews the answers before the first visit. AI Doctor only collects them; it does not assess symptoms.
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.
