diff --git a/app/Http/Controllers/Care/AssessmentController.php b/app/Http/Controllers/Care/AssessmentController.php
index bcad35d..a901da9 100644
--- a/app/Http/Controllers/Care/AssessmentController.php
+++ b/app/Http/Controllers/Care/AssessmentController.php
@@ -75,6 +75,42 @@ class AssessmentController extends Controller
         return $this->index($request, $consultation->patient);
     }
 
+    /**
+     * Start-form picker under a consultation (parity with prescriptions create).
+     * GET /consultations/{uuid}/assessments/create
+     */
+    public function createForConsultation(Request $request, Consultation $consultation): View
+    {
+        $this->authorizeConsultation($request, $consultation);
+        $consultation->loadMissing(['patient', 'visit']);
+
+        $return = app(ConsultationReturnContext::class);
+        $return->remember($consultation);
+        $request->query->set('consultation_uuid', $consultation->uuid);
+        if ($consultation->visit?->uuid) {
+            $request->query->set('visit_uuid', $consultation->visit->uuid);
+        }
+        $request->query->set(ConsultationReturnContext::QUERY_KEY, $consultation->uuid);
+
+        return $this->create($request, $consultation->patient);
+    }
+
+    /**
+     * Open an assessment while staying on the consultation URL tree.
+     * GET /consultations/{uuid}/assessments/{assessment}
+     */
+    public function showForConsultation(Request $request, Consultation $consultation, Assessment $assessment): View
+    {
+        $this->authorizeConsultation($request, $consultation);
+        abort_unless((int) $assessment->patient_id === (int) $consultation->patient_id, 404);
+
+        $return = app(ConsultationReturnContext::class);
+        $return->remember($consultation);
+        $request->query->set(ConsultationReturnContext::QUERY_KEY, $consultation->uuid);
+
+        return $this->show($request, $assessment);
+    }
+
     public function create(Request $request, Patient $patient): View
     {
         $this->assertEngineEnabled($request);
@@ -99,15 +135,19 @@ class AssessmentController extends Controller
             }
         })->values();
 
+        $returnConsultation = app(ConsultationReturnContext::class)
+            ->resolve($request, (int) $patient->id);
+        $returnConsultation?->loadMissing('visit');
+
         return view('care.assessments.create', [
             'patient' => $patient,
             'templates' => $capturable,
             'categories' => config('care.assessment_template_categories'),
-            'consultationUuid' => $request->query('consultation_uuid'),
-            'visitUuid' => $request->query('visit_uuid'),
+            'consultationUuid' => $request->query('consultation_uuid') ?? $returnConsultation?->uuid,
+            'visitUuid' => $request->query('visit_uuid') ?? $returnConsultation?->visit?->uuid,
+            'returnConsultation' => $returnConsultation,
         ]);
     }
-
     public function store(Request $request, Patient $patient): RedirectResponse
     {
         $this->assertEngineEnabled($request);
@@ -130,6 +170,16 @@ class AssessmentController extends Controller
         );
 
         $return = app(ConsultationReturnContext::class);
+        if (! empty($context['consultation'])) {
+            $return->remember($context['consultation']);
+
+            return redirect()
+                ->route('care.consultations.assessments.show', [
+                    'consultation' => $context['consultation'],
+                    'assessment' => $assessment,
+                ])
+                ->with('success', 'Assessment started.');
+        }
 
         return redirect()
             ->route('care.assessments.show', array_filter([
@@ -168,10 +218,10 @@ class AssessmentController extends Controller
         $return->remember($consultation);
 
         return redirect()
-            ->route('care.assessments.show', array_filter([
+            ->route('care.consultations.assessments.show', [
+                'consultation' => $consultation,
                 'assessment' => $assessment,
-                ...$return->query($consultation),
-            ]))
+            ])
             ->with('success', 'Assessment started.');
     }
 
@@ -240,11 +290,7 @@ class AssessmentController extends Controller
 
         $return = app(ConsultationReturnContext::class);
 
-        return redirect()
-            ->route('care.assessments.show', array_filter([
-                'assessment' => $assessment,
-                ...$return->routeQuery($request),
-            ]))
+        return $this->redirectToAssessmentShow($request, $assessment, $return)
             ->with('success', 'Assessment saved.');
     }
 
@@ -280,11 +326,7 @@ class AssessmentController extends Controller
 
         $return = app(ConsultationReturnContext::class);
 
-        return redirect()
-            ->route('care.assessments.show', array_filter([
-                'assessment' => $assessment,
-                ...$return->routeQuery($request),
-            ]))
+        return $this->redirectToAssessmentShow($request, $assessment, $return)
             ->with('success', 'Assessment completed.');
     }
 
@@ -301,11 +343,41 @@ class AssessmentController extends Controller
             $this->ownerRef($request),
         );
 
+        $return = app(ConsultationReturnContext::class);
+        $consultation = $return->resolve($request, (int) $assessment->patient_id);
+
+        if ($consultation) {
+            return redirect()
+                ->route('care.consultations.assessments.index', $consultation)
+                ->with('success', 'Assessment cancelled.');
+        }
+
         return redirect()
             ->route('care.assessments.index', $assessment->patient)
             ->with('success', 'Assessment cancelled.');
     }
 
+    /**
+     * Prefer consultation-nested show when the doctor is mid-consult.
+     */
+    protected function redirectToAssessmentShow(
+        Request $request,
+        Assessment $assessment,
+        ConsultationReturnContext $return,
+    ): RedirectResponse {
+        $consultation = $return->resolve($request, (int) $assessment->patient_id)
+            ?? $return->resolveLinked($request, $assessment->consultation);
+
+        if ($consultation) {
+            return redirect()->route('care.consultations.assessments.show', [
+                'consultation' => $consultation,
+                'assessment' => $assessment,
+            ]);
+        }
+
+        return redirect()->route('care.assessments.show', $assessment);
+    }
+
     /**
      * FHIR R4 Bundle (Questionnaire + QuestionnaireResponse) download.
      */
diff --git a/resources/views/care/assessments/create.blade.php b/resources/views/care/assessments/create.blade.php
index fb58420..70086cc 100644
--- a/resources/views/care/assessments/create.blade.php
+++ b/resources/views/care/assessments/create.blade.php
@@ -1,4 +1,6 @@
 <x-app-layout :title="'Start assessment · '.$patient->fullName()">
+    <x-care.consultation-return :consultation="$returnConsultation ?? null" />
+
     <div>
         <p class="text-xs font-medium uppercase tracking-wide text-slate-500">Start assessment</p>
         <h1 class="text-2xl font-semibold text-slate-900">{{ $patient->fullName() }}</h1>
@@ -11,7 +13,9 @@
         @if ($templates->isEmpty())
             <p class="text-sm text-slate-500">No forms are available for your role right now. Ask an administrator to confirm clinical forms are enabled in Settings.</p>
         @else
-            <form method="POST" action="{{ route('care.assessments.store', $patient) }}" class="space-y-4">
+            <form method="POST" action="{{ ($returnConsultation ?? null)
+                ? route('care.consultations.assessments.store', $returnConsultation)
+                : route('care.assessments.store', $patient) }}" class="space-y-4">
                 @csrf
                 @if ($consultationUuid)
                     <input type="hidden" name="consultation_uuid" value="{{ $consultationUuid }}">
@@ -19,6 +23,9 @@
                 @if ($visitUuid)
                     <input type="hidden" name="visit_uuid" value="{{ $visitUuid }}">
                 @endif
+                @if (($returnConsultation ?? null)?->uuid)
+                    <input type="hidden" name="from_consultation" value="{{ $returnConsultation->uuid }}">
+                @endif
 
                 <div>
                     <label class="block text-sm font-medium text-slate-700">Template</label>
@@ -38,7 +45,9 @@
 
                 <div class="flex gap-3">
                     <button type="submit" class="btn-primary">Start</button>
-                    <a href="{{ route('care.assessments.index', $patient) }}" class="rounded-lg border border-slate-200 px-4 py-2 text-sm text-slate-700 hover:bg-slate-50">Cancel</a>
+                    <a href="{{ ($returnConsultation ?? null)
+                        ? route('care.consultations.assessments.index', $returnConsultation)
+                        : route('care.assessments.index', $patient) }}" class="rounded-lg border border-slate-200 px-4 py-2 text-sm text-slate-700 hover:bg-slate-50">Cancel</a>
                 </div>
             </form>
         @endif
diff --git a/resources/views/care/assessments/index.blade.php b/resources/views/care/assessments/index.blade.php
index 3498766..a5effd8 100644
--- a/resources/views/care/assessments/index.blade.php
+++ b/resources/views/care/assessments/index.blade.php
@@ -10,7 +10,11 @@
             </p>
         </div>
         @if ($canCapture)
-            <a href="{{ route('care.assessments.create', $patient) }}" class="btn-primary">Start assessment</a>
+            @if ($returnConsultation ?? null)
+                <a href="{{ route('care.consultations.assessments.create', $returnConsultation) }}" class="btn-primary">Start assessment</a>
+            @else
+                <a href="{{ route('care.assessments.create', $patient) }}" class="btn-primary">Start assessment</a>
+            @endif
         @endif
     </div>
 
@@ -53,7 +57,11 @@
                             {{ $assessment->assessed_at?->format('d M Y H:i') ?? $assessment->created_at?->format('d M Y H:i') ?? '—' }}
                         </td>
                         <td class="px-4 py-3 text-right">
-                            <a href="{{ route('care.assessments.show', $assessment) }}" class="text-sky-600 hover:text-sky-700">Open</a>
+                            @if ($returnConsultation ?? null)
+                                <a href="{{ route('care.consultations.assessments.show', [$returnConsultation, $assessment]) }}" class="text-sky-600 hover:text-sky-700">Open</a>
+                            @else
+                                <a href="{{ route('care.assessments.show', $assessment) }}" class="text-sky-600 hover:text-sky-700">Open</a>
+                            @endif
                         </td>
                     </tr>
                 @empty
diff --git a/resources/views/care/assessments/show.blade.php b/resources/views/care/assessments/show.blade.php
index 77047cc..666eb94 100644
--- a/resources/views/care/assessments/show.blade.php
+++ b/resources/views/care/assessments/show.blade.php
@@ -17,7 +17,9 @@
         </div>
         <div class="flex flex-wrap gap-2">
             <a href="{{ route('care.assessments.fhir', $assessment) }}?download=1" class="rounded-lg border border-slate-200 bg-white px-4 py-2 text-sm font-medium text-slate-700 hover:bg-slate-50">Export FHIR</a>
-            <a href="{{ route('care.assessments.index', $assessment->patient) }}" class="rounded-lg border border-slate-200 bg-white px-4 py-2 text-sm font-medium text-slate-700 hover:bg-slate-50">All assessments</a>
+            <a href="{{ ($returnConsultation ?? null)
+                ? route('care.consultations.assessments.index', $returnConsultation)
+                : route('care.assessments.index', $assessment->patient) }}" class="rounded-lg border border-slate-200 bg-white px-4 py-2 text-sm font-medium text-slate-700 hover:bg-slate-50">All assessments</a>
         </div>
     </div>
 
diff --git a/resources/views/care/consultations/show.blade.php b/resources/views/care/consultations/show.blade.php
index ba470f5..6f0fe3a 100644
--- a/resources/views/care/consultations/show.blade.php
+++ b/resources/views/care/consultations/show.blade.php
@@ -57,7 +57,7 @@
                         </p>
                     </div>
                     @if ($universalAssessment)
-                        <a href="{{ route('care.assessments.show', [$universalAssessment, 'from_consultation' => $consultation->uuid]) }}" class="rounded-lg bg-sky-600 px-3 py-2 text-sm font-medium text-white hover:bg-sky-700">
+                        <a href="{{ route('care.consultations.assessments.show', [$consultation, $universalAssessment]) }}" class="rounded-lg bg-sky-600 px-3 py-2 text-sm font-medium text-white hover:bg-sky-700">
                             {{ $universalAssessment->isDraft() ? 'Continue form' : 'View form' }}
                         </a>
                     @elseif (($canCaptureUniversal ?? false) && ! $isCompleted)
@@ -145,7 +145,7 @@
                                         <span class="text-xs text-amber-600">Form not available yet</span>
                                     @elseif ($instrument['assessment'])
                                         <span class="text-xs text-slate-500">{{ $assessmentStatuses[$instrument['assessment']->status] ?? $instrument['assessment']->status }}</span>
-                                        <a href="{{ route('care.assessments.show', [$instrument['assessment'], 'from_consultation' => $consultation->uuid]) }}" class="text-sky-600 hover:text-sky-700">
+                                        <a href="{{ route('care.consultations.assessments.show', [$consultation, $instrument['assessment']]) }}" class="text-sky-600 hover:text-sky-700">
                                             {{ $instrument['assessment']->isDraft() ? 'Continue' : 'View' }}
                                         </a>
                                     @elseif (($canCaptureAssessment ?? false) && ! $isCompleted)
@@ -209,7 +209,7 @@
                 <ul class="mt-4 space-y-2 text-sm">
                     @foreach ($consultationAssessments as $item)
                         <li>
-                            <a href="{{ route('care.assessments.show', [$item, 'from_consultation' => $consultation->uuid]) }}" class="text-sky-600 hover:text-sky-700">
+                            <a href="{{ route('care.consultations.assessments.show', [$consultation, $item]) }}" class="text-sky-600 hover:text-sky-700">
                                 {{ $item->template->name }}
                             </a>
                             · {{ ($assessmentStatuses[$item->status] ?? $item->status) }}
@@ -390,7 +390,7 @@
                 <section class="rounded-2xl border border-sky-100 bg-white p-6">
                     <div class="flex items-center justify-between gap-2">
                         <h2 class="text-sm font-semibold uppercase tracking-wide text-slate-500">Patient history form</h2>
-                        <a href="{{ route('care.assessments.show', [$universalAssessment, 'from_consultation' => $consultation->uuid]) }}" class="text-sm text-sky-600 hover:text-sky-700">Open</a>
+                        <a href="{{ route('care.consultations.assessments.show', [$consultation, $universalAssessment]) }}" class="text-sm text-sky-600 hover:text-sky-700">Open</a>
                     </div>
                     <dl class="mt-4 space-y-2 text-sm">
                         @foreach ($universalAssessment->answers->sortBy(fn ($a) => $a->question?->sort_order ?? 0) as $answer)
diff --git a/resources/views/partials/sidebar.blade.php b/resources/views/partials/sidebar.blade.php
index e3a18bd..d1aab9f 100644
--- a/resources/views/partials/sidebar.blade.php
+++ b/resources/views/partials/sidebar.blade.php
@@ -43,6 +43,7 @@
                 'name' => 'Clinical forms',
                 'route' => route('care.patients.index', ['focus' => 'assessments']),
                 'active' => request()->routeIs('care.assessments.*')
+                    || request()->routeIs('care.consultations.assessments.*')
                     || request()->routeIs('care.pathways.*')
                     || request()->routeIs('care.outcomes.*'),
                 'icon' => '<path stroke-linecap="round" stroke-linejoin="round" d="M9 12h3.75M9 15h3.75M9 18h3.75m3 .75H18a2.25 2.25 0 0 0 2.25-2.25V6.108c0-1.135-.845-2.098-1.976-2.192a48.424 48.424 0 0 0-1.123-.08m-5.801 0c-.065.21-.1.433-.1.664 0 .414.336.75.75.75h4.5a.75.75 0 0 0 .75-.75 2.25 2.25 0 0 0-.1-.664m-5.8 0A2.251 2.251 0 0 1 13.5 2.25H15c1.012 0 1.867.668 2.15 1.586m-5.8 0c-.376.023-.75.05-1.124.08C9.095 4.01 8.25 4.973 8.25 6.108V8.25m0 0H4.875c-.621 0-1.125.504-1.125 1.125v11.25c0 .621.504 1.125 1.125 1.125h9.75c.621 0 1.125-.504 1.125-1.125V9.375c0-.621-.504-1.125-1.125-1.125H8.25ZM6.75 12h.008v.008H6.75V12Zm0 3h.008v.008H6.75V15Zm0 3h.008v.008H6.75V18Z" />',
diff --git a/routes/web.php b/routes/web.php
index 6549598..d4a717e 100644
--- a/routes/web.php
+++ b/routes/web.php
@@ -219,8 +219,11 @@ Route::middleware(['auth', 'platform.session'])->group(function () {
         Route::get('/patients/{patient}/assessments', [AssessmentController::class, 'index'])->name('care.assessments.index');
         Route::get('/patients/{patient}/assessments/create', [AssessmentController::class, 'create'])->name('care.assessments.create');
         Route::post('/patients/{patient}/assessments', [AssessmentController::class, 'store'])->name('care.assessments.store');
+        // Consultation-scoped: index / create / show (create before {assessment} so "create" is not bound as uuid)
         Route::get('/consultations/{consultation}/assessments', [AssessmentController::class, 'indexForConsultation'])->name('care.consultations.assessments.index');
+        Route::get('/consultations/{consultation}/assessments/create', [AssessmentController::class, 'createForConsultation'])->name('care.consultations.assessments.create');
         Route::post('/consultations/{consultation}/assessments', [AssessmentController::class, 'storeForConsultation'])->name('care.consultations.assessments.store');
+        Route::get('/consultations/{consultation}/assessments/{assessment}', [AssessmentController::class, 'showForConsultation'])->name('care.consultations.assessments.show');
         Route::get('/assessments/{assessment}', [AssessmentController::class, 'show'])->name('care.assessments.show');
         Route::put('/assessments/{assessment}', [AssessmentController::class, 'update'])->name('care.assessments.update');
         Route::post('/assessments/{assessment}/complete', [AssessmentController::class, 'complete'])->name('care.assessments.complete');
diff --git a/tests/Feature/CareAssessmentCaptureTest.php b/tests/Feature/CareAssessmentCaptureTest.php
index 0cbe1d2..eceb306 100644
--- a/tests/Feature/CareAssessmentCaptureTest.php
+++ b/tests/Feature/CareAssessmentCaptureTest.php
@@ -400,6 +400,76 @@ class CareAssessmentCaptureTest extends TestCase
         $this->assertSame($this->branch->id, $assessment->branch_id);
     }
 
+    public function test_consultation_create_show_and_store_open_forms_for_doctor(): void
+    {
+        $this->setMemberRole('doctor');
+
+        $visit = Visit::create([
+            'owner_ref' => $this->user->public_id,
+            'organization_id' => $this->organization->id,
+            'branch_id' => $this->branch->id,
+            'patient_id' => $this->patient->id,
+            'status' => Visit::STATUS_OPEN,
+            'checked_in_at' => now(),
+        ]);
+
+        $consultation = Consultation::create([
+            'owner_ref' => $this->user->public_id,
+            'visit_id' => $visit->id,
+            'patient_id' => $this->patient->id,
+            'status' => Consultation::STATUS_DRAFT,
+            'started_at' => now(),
+        ]);
+
+        // Nested create (was unmatched → Laravel 404 before this fix)
+        $this->actingAs($this->user)
+            ->get(route('care.consultations.assessments.create', $consultation))
+            ->assertOk()
+            ->assertSee('Start assessment')
+            ->assertSee('Universal Intake');
+
+        $this->actingAs($this->user)
+            ->get('/consultations/'.$consultation->uuid.'/assessments/create')
+            ->assertOk();
+
+        $response = $this->actingAs($this->user)
+            ->post(route('care.consultations.assessments.store', $consultation), [
+                'template_code' => 'universal_intake',
+            ]);
+
+        $assessment = Assessment::first();
+        $this->assertNotNull($assessment);
+
+        $response->assertRedirect(route('care.consultations.assessments.show', [
+            'consultation' => $consultation,
+            'assessment' => $assessment,
+        ]));
+
+        // Nested show (was unmatched → Laravel 404)
+        $this->actingAs($this->user)
+            ->get(route('care.consultations.assessments.show', [$consultation, $assessment]))
+            ->assertOk()
+            ->assertSee('Universal Intake')
+            ->assertSee('Back to consultation');
+
+        $this->actingAs($this->user)
+            ->get('/consultations/'.$consultation->uuid.'/assessments/'.$assessment->uuid)
+            ->assertOk();
+
+        // Flat show still works for patient-chart / bookmarks
+        $this->actingAs($this->user)
+            ->get(route('care.assessments.show', $assessment))
+            ->assertOk();
+
+        // Patient create + store with consultation_uuid also lands on nested show
+        $this->actingAs($this->user)
+            ->get(route('care.assessments.create', [
+                'patient' => $this->patient,
+                'consultation_uuid' => $consultation->uuid,
+            ]))
+            ->assertOk();
+    }
+
     public function test_public_bodies_use_consultation_uuid(): void
     {
         $this->setMemberRole('doctor');
@@ -430,6 +500,10 @@ class CareAssessmentCaptureTest extends TestCase
 
         $assessment = Assessment::first();
         $this->assertSame($consultation->id, $assessment->consultation_id);
+
+        $this->actingAs($this->user)
+            ->get(route('care.consultations.assessments.show', [$consultation, $assessment]))
+            ->assertOk();
     }
 
     public function test_tenant_isolation_returns_404(): void