Symptom screening
ANA Screening for Systemic Lupus Erythematosus
Symptom screen used when a patient has a positive ANA blood test result.
About this form
If your blood test was positive for antinuclear antibodies (ANA), this short screen helps us determine whether further evaluation for lupus or another autoimmune condition is appropriate. Please check every symptom you have currently or have experienced recently.
About 4 minutes
Trouble with the form?
Call our office and we'll either walk you through it or send a paper version.