Lymphedema New Patient Questionnaire
What a lymphedema new patient questionnaire asks, with sample questions on swelling, cancer care, and past treatment.
A lymphedema new patient questionnaire records where the swelling is, when it began, its likely cause, past cancer care and treatment, and daily impact before a first visit. The questions on this page are built from lymphedema history forms at Stony Brook Medicine and MSU Health Care.
Lymphedema new patient questionnaire, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a lymphedema new patient questionnaire 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 lymphedema new patient questionnaire questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- Which areas of your body are swollen?Swelling
- At what age did the swelling first occur?Swelling
- Is the swelling linked to cancer treatment?Cause
- If not, what do you think caused it?Cause
- How many lymph nodes were removed?Cancer care
- Have you had radiation or chemotherapy?Cancer care
- Have you been treated for the swelling before?Past treatment
- Do you wear compression garments now?Past treatment
- Which medicines do you take?Health history
- Does anyone in your family have limb swelling?Health history
- Is the swelling making daily activities harder?Daily life
- What do you hope to achieve with treatment?Daily life
These are examples to read, not a form to fill in.
Lymphedema new patient questionnaire: FAQ
What does a lymphedema new patient questionnaire ask?
The sample questions on this page are based on lymphedema history forms from Stony Brook Medicine and MSU Health Care. This page groups them into six areas: swelling, cause, cancer care, past treatment, health history, and daily life.
Who fills in a lymphedema new patient questionnaire, and when?
The patient, before the first lymphedema visit. The MSU Health Care form also asks who referred the patient for evaluation or treatment.
Does it ask about cancer treatment?
Yes. Both forms ask about cancer surgery, the number of lymph nodes removed, and radiation or chemotherapy, and Stony Brook's form also asks about breast reconstruction.
Does it ask about other causes of swelling?
Yes. The MSU Health Care form lists possible causes such as injury, other surgery, weight gain, or limited mobility, and it also offers an unknown answer.
Does it ask about compression and past treatment?
The MSU Health Care form asks how the swelling is managed now, such as compression garments, bandaging, exercise, or skin care. Stony Brook's form asks about earlier decongestive therapy, garments, or a pump.
What happens after the lymphedema new patient questionnaire is completed?
The care team reviews the answers before the visit. AI Doctor only collects them and offers no opinion on the swelling.
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.
