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Plastic Surgery Consent Form

What a plastic surgery consent form covers, who signs it, and the health questions asked before it.

A plastic surgery consent form records the patient's signed agreement before a consultation or surgery. At UT Southwestern's resident cosmetic clinic, it covers scheduling, payment, follow-up visits, and photographs.

Patient answering plastic surgery consent form questions with the AI Doctor avatar at clinic check-in kiosks

Before the plastic surgery consent form: health questions, handled by the AI Doctor avatar

AI Doctor, a real-time AI healthcare assistant avatar, can collect the patient's health information before the plastic surgery consent form, in their own language. The consent discussion and the signature stay with the surgeon.

Clinician reviewing a patient's plastic surgery consent 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 questions before the plastic surgery consent form

Typical health and planning questions a practice asks before the consent discussion. Every practice words its own forms differently.

  • Which procedures are you considering?Procedures
  • Do you have a preferred surgeon at the clinic?Procedures
  • May we leave a message on your phone?Contact details
  • Who should we contact in an emergency?Contact details
  • Do you bruise or bleed easily?Health history
  • Have you had problems with anesthesia before?Health history
  • Do you take aspirin or ibuprofen?Medications
  • Which drug allergies do you have?Medications
  • Are you pregnant or planning a pregnancy?Pregnancy
  • Have you breastfed in the last three months?Pregnancy
  • Do you smoke, and how much per day?Lifestyle
  • Do you drink alcoholic beverages?Lifestyle

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

Plastic surgery consent form: FAQ

What does a plastic surgery consent form ask?

The sample questions on this page are based on UT Southwestern's cosmetic clinic application and a plastic surgery practice's registration packet. This page groups them into six areas: procedures, contact details, health history, medications, pregnancy, and lifestyle.

What does a plastic surgery consent form cover?

At UT Southwestern's resident cosmetic clinic, it covers the consultation, how surgery is scheduled, payment, follow-up visits, and cancellations. A plastic surgery practice's packet adds a separate photographic release.

Who signs it, and when?

The patient signs it with the new patient paperwork. UT Southwestern's form says the clinic coordinator and a chief resident review that paperwork before a consultation is scheduled.

Can AI Doctor take the consent?

No. AI Doctor can gather the health answers beforehand, but the surgeon leads the consent discussion and collects the signature.

Is it the same as a policies and disclosures form?

It can be. One cosmetic surgery center's patient packet groups its policies and disclosures, including photography and dispute resolution policies, for the patient to review before signing.

Is there a plastic surgery consent form template?

The sample questions on this page show a typical set of health questions asked before signing.

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 plastic surgery consent form in Genesis AI Avatar Studio on a laptop