Patient forms
Complete what you need — securely and online.
Filling out forms online means we spend more of your appointment focused on your care. Each form below opens in a guided, mobile-friendly page. If you can't find what you need, give us a call.
New patients
Patient intake & records.
Start here if it's your first visit, or if your information has changed.
Disease activity
Self-assessment questionnaires.
Brief, validated tools we use to track how you're doing visit-to-visit.
Disease activity
RAPID 3 — Disease Activity Questionnaire
A 13-item self-assessment used to track rheumatoid arthritis activity over time.
~5 min
Disease activity
BASDAI — Bath Ankylosing Spondylitis Disease Activity Index
Six self-rated questions about fatigue, pain, and stiffness over the past week.
~3 min
Symptom screening
ANA Screening for Systemic Lupus Erythematosus
Symptom screen used when a patient has a positive ANA blood test result.
~4 min
Releases & authorizations
Records release & HIPAA forms.
Authorize us to share information with family, providers, or others involved in your care.
Medication consents
Informed consent for biologic therapies.
Please review and sign the consent form for your medication before infusion.
Medication consent
Informed Consent for Treatment with Actemra (tocilizumab)
Open form →
Medication consent
Informed Consent for Treatment with Benlysta (belimumab)
Open form →
Medication consent
Informed Consent for Treatment with Cimzia (certolizumab pegol)
Open form →
Medication consent
Informed Consent for Treatment with Cosentyx (secukinumab)
Open form →
Medication consent
Informed Consent for Treatment with Krystexxa (pegloticase)
Open form →
Medication consent
Informed Consent for Treatment with Orencia (abatacept)
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Medication consent
Informed Consent for Treatment with Prolia (denosumab)
Open form →
Medication consent
Informed Consent for Treatment with Reclast / Zoledronic Acid
Open form →
Medication consent
Informed Consent for Treatment with Remicade / Inflectra (infliximab)
Open form →
Medication consent
Informed Consent for Treatment with Rituximab (Rituxan / Truxima / Ruxience)
Open form →
Medication consent
Informed Consent for Treatment with Saphnelo (anifrolumab-fnia)
Open form →
Medication consent
Informed Consent for Treatment with Simponi Aria (golimumab)
Open form →
Need help?
We're happy to walk you through any document over the phone.