Patient Intake Forms
A patient intake form collects what a practice needs before care starts: who the patient is, why they are coming, and what the care team needs to know about their health. Each specialty adds questions of its own.
Patient intake, handled by the AI Doctor avatar
AI Doctor is a real-time AI healthcare assistant avatar for digital patient intake. It talks with each patient in their 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.
- Same questions, every patient. AI Doctor asks exactly what the practice’s form asks, in the same order.
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.
Popular intake forms
Go straight to a common form, or browse by specialty below.
Find an intake form
Start with your specialty: every form is grouped there, with its typical questions.
- General4 forms
- Cardiology32 forms
- Chiropractic17 forms
- Dentistry47 forms
- Dermatology27 forms
- ENT33 forms
- Fertility24 forms
- Gastroenterology30 forms
- Mental Health40 forms
- Neurology34 forms
- OB/GYN30 forms
- Ophthalmology34 forms
- Orthopedics59 forms
- Pain Management20 forms
- Pediatrics28 forms
- Physical Therapy31 forms
- Podiatry30 forms
- Primary Care36 forms
- Surgery71 forms
- Urology24 forms
What a patient intake form covers
Most intake comes down to six parts:
Patient registration. Who the patient is and how to reach them, insurance details, and an emergency contact.
Medical history. Past and current conditions, surgeries, and family history.
Medications and allergies. What the patient takes and what they react to, which can change how treatment is done.
Reason for the visit. The injury or condition, what is hard to do, and the goals for care.
Screening questionnaires. Short standard question sets a specialty uses, such as an anxiety scale before dental care.
Before and after treatment. Consent before a procedure, and check-ins on recovery after it.
How AI patient intake works

Set up your intake form
Pick a ready-made form, or upload your own PDF or Word form.

Patient talks to AI Doctor
Online or at a kiosk, by voice or text, in their own language.

Intake lands in your system
The completed intake arrives in your system, in the order you set.

Clinician comes prepared
The clinician reviews the answers before the consultation.
Paper form, online form, or AI Doctor
Paper form
- Effort for the patient
- Write by hand
- Languages
- One per print
- Follow-up questions
- None
- Accessibility
- Needs reading and writing
Online form
- Effort for the patient
- Type into fields
- Languages
- One per translation
- Follow-up questions
- Fixed logic
- Accessibility
- Needs reading and typing
AI Doctor
- Effort for the patient
- Talk in their own words
- Languages
- The patient’s own language
- Follow-up questions
- Asks when an answer is unclear
- Accessibility
- Voice or text
Sovereign AI avatars:
intake answers stay under your control.
Patients share their health history, medicines, and allergies during intake. Choose how isolated AI Doctor runs: fully air-gapped, on your own servers, or in your private cloud.
Air-gapped
No internet connection. No data leaves your network, not even to us.
On-premise
Your own servers. Patient data stays on site.
Private cloud
Your private cloud, or a sovereign cloud in your country or region.
AI avatars in healthcare: Virtual Hospital, Italy
Built with Virtual Hospital, Italy, a project led by cardiologist and AI researcher Dr. Marco Mazzanti. The avatar is the patient’s first point of contact: it runs the intake conversation and passes symptoms, risk factors, and medical history to a physician. Presented live on stage in Ancona, at the AI in Healthcare conference ahead of the G7 Health Summit.
“By embracing AI, we’re not just solving today’s challenges; we’re designing a healthcare system where accessibility, compassion, and precision are the new standards for everyone.”
Dr. Marco Mazzanti, Director of Artificial Intelligence Framework for Virtual Hospital model, Italy
Patient intake: FAQ
New patient or follow-up form: what’s the difference?
A new patient form covers everything once: registration, health history, medicines, and the reason for the visit. A follow-up form asks only what changed since the last visit, such as contact details, health, or medicines.
What is AI Doctor?
It’s RAVATAR’s real-time AI healthcare assistant avatar. It asks intake questions as a conversation, so patients talk instead of filling in a form.
What does intake mean in medical terms?
In medical settings, intake is the first step before care: the practice collects the patient’s details and health information so the care team can prepare.
Does AI Doctor give medical advice?
No. It collects information for the care team. It doesn’t diagnose, triage, or recommend treatment.
What is the patient intake process?
The patient intake process is the steps from booking to the visit: the patient receives the forms, answers them online or at check-in, and the care team reviews the answers.
What’s the difference between an intake form and a consent form?
An intake form collects information about the patient and their health. A consent form records that the patient agreed to a procedure after it was explained. The consent discussion and the signature stay with the clinician.
How is intake different from registration?
Registration covers identity and contact details. Intake also covers health: history, medications, symptoms, and any screening questions the specialty needs.
How do practices get intake forms finished before the visit?
They send the forms when the visit is booked, ask only what that visit needs, and make them easy to finish on a phone. A reminder before the visit catches the ones left blank.
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.