Microneedling Consultation Form
What a microneedling consultation form asks, with sample questions on skin concerns, medicines, and past procedures.
A microneedling consultation form records the patient's skin concerns, medicines, allergies, past procedures, and health history before microneedling. The questions on this page are built from a microneedling provider's medical history form.
Microneedling consultation form, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a microneedling 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 microneedling consultation form questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- Which areas would you like to improve?Skin goals
- What are your main skin concerns?Skin goals
- Which medicines and natural products do you take?Medicines
- Do you take blood thinners or heart medicines?Medicines
- Do you have any allergies or sensitivities?Allergies
- Are you allergic to hyaluronic acid?Allergies
- Which cosmetic procedures have you had before?Past procedures
- Did past procedures cause any complications?Past procedures
- Do you have diabetes or a heart condition?Health history
- Do you have an autoimmune condition?Health history
- Do you smoke now, or did you before?Lifestyle
- How much time do you spend outdoors weekly?Lifestyle
These are examples to read, not a form to fill in.
Microneedling consultation form: FAQ
What does a microneedling consultation form ask?
The sample questions on this page are based on a microneedling provider's medical history form. This page groups them into six areas: skin goals, medicines, allergies, past procedures, health history, and lifestyle.
Who fills in a microneedling consultation form, and when?
The patient, before the treatment. The provider's form ends with a declaration that the information is true, signed by the patient and the practitioner.
Is it the same as a microneedling client information form?
The names overlap. The provider's form is titled a medical history form for microneedling, and it holds the same client details and history.
Does it ask about cosmetic procedures done before?
Yes. The form asks for past hospitalizations, surgeries, injuries, and cosmetic procedures, with the year, the outcome, and any complications.
Does it ask about lifestyle?
Yes. The provider's form asks about smoking, time spent outdoors, exercise, water, caffeine, and diet.
What happens after the form is completed?
The practitioner reviews the answers before treatment. AI Doctor only collects them and does not decide whether treatment goes ahead.
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.
