Med Spa New Patient Intake Form
What a med spa new patient intake form asks, with sample questions on treatment interests, skin, and health history.
A med spa new patient intake form records contact details, treatment interests, past cosmetic treatments, skin and health history, and medicines before a first visit. It's also called a medical spa client information and medical history form or a new client intake.
Med spa new patient intake form, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a med spa new patient intake 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 med spa new patient intake form questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- How did you hear about us?Patient details
- Who is your emergency contact?Patient details
- Which services are you interested in?Treatment interests
- How concerned are you about facial wrinkles?Treatment interests
- Have you had laser or IPL treatments before?Past treatments
- When was your last injection or filler treatment?Past treatments
- Do you sunbathe or use tanning salons?Skin history
- Do you wear sunscreen every day?Skin history
- Are you under a physician's care right now?Health history
- Have you had problems with anesthesia before?Health history
- Which prescription medicines do you take?Medicines
- Which topical creams do you use now?Medicines
These are examples to read, not a form to fill in.
Med spa new patient intake form: FAQ
What does a med spa new patient intake form ask?
The sample questions on this page are based on forms from a medical spa, a facial plastic surgery practice, and a plastic surgery practice. This page groups them into six areas: patient details, treatment interests, past treatments, skin history, health history, and medicines.
Who fills in a med spa new patient intake form, and when?
The new client, before the first visit. The plastic surgery practice's online forms also collect insurance, pharmacy, and emergency contact details.
Is it the same as a medical spa client information and medical history form?
It can be. The medical spa's form is titled Patient Information and Medical History, and it adds an aesthetic questionnaire on skin concerns and past treatments.
Does it ask about surgical procedures too?
It can. The plastic surgery practice's form lists services such as microneedling and laser treatments next to surgical options like a tummy tuck or eyelid surgery.
Is there a med spa new patient intake form template?
The sample questions on this page show a typical set. Two of the source forms also carry the practice's own cancellation or financial policy.
What happens after the form is completed?
The practice's team reviews the answers before the first treatment. AI Doctor only collects them; it does not recommend treatments.
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.
