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  • Our Team
  • Conditions We Treat
    • Ankylosing Spondylitis
    • Auto-Inflammatory Syndromes
    • Henoch-Schönlein Purpura
    • Hypermobility Syndrome
    • Inflammatory Bowel Disease (Colitis)
    • Juvenile Dermatomyositis
    • Juvenile Rheumatoid Arthritis / Juvenile Idiopathic Arthritis
    • Kawasaki Disease
    • Lupus
    • Psoriatic Arthritis
    • Raynaud’s Disease
    • Rheumatic Fever
    • Sarcoidosis
    • Scleroderma / Morphea
    • Vasculitis
    • Uveitis
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    • Forms
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Forms

Below you’ll find a list of commonly used forms.

For our patients’ convenience, we offer online check-in. This means that all patient registration information including patient history will be collected via an online form emailed or sent via text directly to the patient. (Note: If you do no receive registration information within 24-hours of booking an appointment, please contact our office.)

Patient Forms

  • Request for Medical Records (submit online)
  • Request for Medical Records (pdf)

Provider Forms

  • Referral Form (submit online)
  • Referral Form (pdf)

Infusion Forms

  • Infusion Referral Form (submit online)
  • Infusion Referral Form (pdf)
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At Pediatric Rheumatology Consultants, our rheumatologist is committed to accurately diagnosing and treating infants, children, and young adults suffering from autoimmune disorders