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Liposuction Consultation Form

What a liposuction consultation form asks, with sample questions on goals, treatment areas, weight, medicines, and past surgeries.

A liposuction consultation form records the patient's goals, the areas they want treated, weight, medicines, past surgeries, and habits before a liposuction consultation. The questions on this page come from the ASPS liposuction consultation guide, a Kaiser Permanente Santa Rosa body contour worksheet, and a UT Southwestern cosmetic clinic application.

Patient answering liposuction consultation form questions with the AI Doctor avatar at clinic check-in kiosks

Liposuction consultation form, handled by the AI Doctor avatar

AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a liposuction consultation form in the patient's own language, strictly following the practice's instructions.

Clinician reviewing a patient's liposuction consultation form 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 liposuction 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 goals for liposuction?Goals
  • Which procedures might you want in the future?Goals
  • Which areas would you like treated?Target areas
  • How do these areas respond to exercise?Target areas
  • What is your current height and weight?Weight
  • What is the most you have ever weighed?Weight
  • Which medications do you take regularly?Medications
  • Do you take vitamins, herbs, or fish oil?Medications
  • Which surgeries have you had, and by whom?Surgical history
  • Have you reacted to a local anesthetic injection?Surgical history
  • Do you smoke?Lifestyle
  • How much alcohol do you drink?Lifestyle

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

Liposuction consultation form: FAQ

What does a liposuction consultation form ask?

The sample questions on this page are based on the ASPS liposuction consultation guide, a Kaiser Permanente Santa Rosa body contour worksheet, and a UT Southwestern cosmetic clinic application. This page groups them into six areas: goals, target areas, weight, medications, surgical history, and lifestyle.

What does the ASPS guide say to prepare?

The American Society of Plastic Surgeons lists four topics: surgical goals, medical conditions and drug allergies, current medicines and substance use, and previous surgeries.

Who fills in a liposuction consultation form?

The patient, before the consultation. The UT Southwestern application also records who completed the form and the date.

Does it ask about local anesthetic?

Yes. The UT Southwestern application asks whether the patient has ever reacted to a local anesthetic injection, and about allergies to bandages, tape, or adhesive.

Is there a liposuction consultation form template?

The sample questions on this page show a typical set. None of the three sources is a liposuction-only form.

What happens after the form is completed?

The surgeon reads the answers before examining the patient. AI Doctor only collects them and says nothing about results or candidacy.

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 liposuction consultation form in Genesis AI Avatar Studio on a laptop