Consultation Form Design: One Form, Every Critical Field
The Seven Modules
| Module | Key fields |
|---|---|
| Basics | Age band, sex, occupation (sun-exposure clue), contact |
| Health | Chronic disease, pregnancy/lactation, immune status, keloid tendency |
| Medication and supplements | Six-class checklist (disclosure) |
| Skin history | Complaint, course, past treatments and reactions, allergies |
| Lifestyle | Sunscreen habits, smoking, sleep, exercise |
| Expectations and psychology | Top improvement goal, reference images, pain/downtime tolerance |
| Consent | Disclosure confirmation, imaging authorization (consent) |
Design Principles
- Checkboxes lead, open questions support: checkboxes prevent omissions; open items catch surprises — “any major stress recently?” routinely surfaces key context (hormones, cortisol, care slippage).
- Client fills, physician verifies: pre-visit filling saves time; the physician confirms each critical item at consult and signs — form-filling never transfers responsibility.
- Sensitive items: neutral wording plus a “prefer not to answer” option for pregnancy and psychological fields.
- Update mechanism: confirm changes at every visit (new meds, new pregnancy) — “none” six months ago isn’t “none” today.
Digital Bonuses
- Conditional jumps (“pregnant” auto-expands contraindication prompts).
- Archive integration (past intakes pre-filled for confirmation).
- Audit trails (who filled and edited, when).
FAQ
Too long — clients get annoyed?
Layer it: basics online at booking, professional layer at the consult — total under 10 minutes; every question must answer “what would this change”.
Clients fill it carelessly?
The physician’s verification pass catches criticals (meds, pregnancy, keloid) with verbal confirmation and signature; truthfulness duties sit in the disclosure clauses (liability).