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GOLIMUMAB/EVANESCENT/GOLIMUMAB/INFLIXIMAB for Psoriasis Arthritis SPECIAL AUTHORIZATION REQUEST FORM Please complete all required sections to allow your request to be processed. Patients may or may
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Patients with psoriatic arthritis: Individuals who have been diagnosed with psoriatic arthritis may need to fill out various forms related to their condition. These forms can help healthcare providers, insurance companies, and social security offices assess their needs and provide appropriate care, coverage, or benefits.
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Psoriatic arthritis is a type of arthritis that affects some people who have psoriasis, a skin condition that causes red, scaly patches to appear on the skin.
Patients who have been diagnosed with psoriatic arthritis and are seeking treatment or medical assistance may need to file for psoriatic arthritis.
To fill out for psoriatic arthritis, patients may need to provide information about their medical history, symptoms, and any previous treatments they have tried.
The purpose of filing for psoriatic arthritis is to seek medical assistance, treatment, or disability benefits for those affected by this condition.
Information that may need to be reported on for psoriatic arthritis includes medical history, symptoms, treatments, and any impact on daily activities.
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