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New Patient Supporting Documents for Rheumatology


Diagnosis: Possible SLE (lupus)

What should the referring provider send?

  1. A complete list of all medications
  2. Medical records regarding relevant past evaluation and treatment including outside consults
  3. Relevant laboratory studies (usually should include at least CBC, ESR, ANA panel, metabolic panel, C3 and urinalysis)
  4. Results of any additional tests

Diagnosis: Possible Raynaud’s Phenomenon

What should the referring provider send?

  1. A complete list of all medications
  2. Medical records regarding relevant past evaluation and treatment including outside consults
  3. Relevant laboratory studies (could consider obtaining CBC, ESR, ANA panel, PTT, RVVT, anticardiolipin antibody, antibeta 2 glycoprotein I antibody and urinalysis prior to visit if positive family history, severe symptoms or systemic manifestations)
  4. Results of any additional tests

Symptom: Swollen and/or Painful Joints

What should the referring provider send?

  1. A complete list of all medications
  2. Medical records regarding relevant past evaluation and treatment including outside consults
  3. Relevant laboratory studies
  4. Reports from any imaging studies
  5. Results of any additional tests

Diagnosis: Possible Dermatomyositis

What should the referring provider send?

  1. A complete list of all medications
  2. Medical records regarding relevant past evaluation and treatment including outside consults
  3. Relevant laboratory studies (usually should include at least CBC, CK, LDH, AST, ALT, aldolase)
  4. Results of any additional tests