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SIGN AND FAX THIS FORM TO 877.828.3939 If you have questions, please call 877.627.MEDS (6337) PL A N KATIE N T/P R ES CR I B E R RHEUMATOID ARTHRITIS/PSORIASIS ARTHRITIS, AS, VIA REFERRAL FORM PATIENT
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What is rheumatoid arthritis/psoriatic arthritis as?
Rheumatoid arthritis and psoriatic arthritis are chronic autoimmune conditions that affect the joints.
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The purpose of filing for rheumatoid arthritis or psoriatic arthritis is to claim any available benefits or assistance related to the condition.
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Individuals must report their diagnosis, treatment plan, medical expenses, and any other relevant information when filing for rheumatoid arthritis or psoriatic arthritis.
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