Surgical Oncology New Patient Form
What a surgical oncology new patient form asks, with sample questions on cancer history, past surgeries, and support needs.
A surgical oncology new patient form records cancer history, other conditions, past surgeries, allergies, family history, and support needs before a first cancer surgery visit. The questions here come from new patient forms of two cancer centers: The University of Kansas Cancer Center and Rutgers Cancer Institute of New Jersey.
Surgical oncology new patient form, handled by the AI Doctor avatar
AI Doctor, a real-time AI healthcare assistant avatar, asks the questions on a surgical oncology new patient 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 surgical oncology new patient form questions
Typical questions, written out so you can see the level of detail. Every practice words its own form differently.
- Have you ever been diagnosed with cancer?Cancer history
- Did you have chemotherapy, radiation, or surgery?Cancer history
- Which other medical conditions do you have?Medical history
- Which medicines do you take regularly?Medical history
- Have you had cancer surgery before?Surgical history
- Have you had a biopsy?Surgical history
- Do you have any allergies?Allergies
- Have you reacted to IV dye for X-rays?Allergies
- Has anyone in your family had cancer?Family history
- At what age was your relative diagnosed?Family history
- Do you have transportation to your appointments?Support needs
- Do you have family or friends to help you?Support needs
These are examples to read, not a form to fill in.
Surgical oncology new patient form: FAQ
What does a surgical oncology new patient form ask?
The sample questions on this page are based on the new patient forms of The University of Kansas Cancer Center and Rutgers Cancer Institute of New Jersey. This page groups them into six areas: cancer history, medical history, surgical history, allergies, family history, and support needs.
Who fills in a surgical oncology new patient form, and when?
The patient, before the first appointment. Both forms ask the patient to bring the completed form to that appointment.
Does it ask about earlier cancer treatment?
Yes. The Rutgers form asks for each diagnosis with its date and doctor, and whether it was treated with chemotherapy, radiation, surgery, or another approach.
Why does the form ask about support at home?
The Rutgers form says the information helps the healthcare team plan care. It asks about transportation, help from family or friends, and needs such as coping, finances, or nutrition.
Is there a surgical oncology new patient form template?
The sample questions on this page show a typical set. The University of Kansas form lists cancer operations, such as colectomy and the Whipple procedure, as checkboxes.
What happens after the form is completed?
The care team reviews the answers before the appointment. AI Doctor only asks the questions and records the answers; it does not interpret records or results.
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.
