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Updated September 17, 2019Checklist for () Referral Required documentation for all initial referrals Patient ___DOB___ Date___ New Start Maintenance Please return completed checklist and checklist
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Patients diagnosed with arthritis who have been prescribed Rituxan and are seeking referral to a rheumatologist for further evaluation and treatment.
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argmdnetuploadsrituxan-referral-checklistarthritis ampamp rheumatology is a checklist form used for referral purposes related to arthritis and rheumatology.
Healthcare providers, physicians, or specialists involved in the treatment and management of arthritis and rheumatology patients may be required to fill out the form.
The form should be completed with accurate patient information, medical history, current symptoms, and referral reason for proper evaluation by the receiving healthcare provider.
The purpose of the form is to facilitate the referral process for arthritis and rheumatology patients, ensuring proper assessment and treatment by specialists in the field.
The form may require patient demographics, medical history, current symptoms, referral reason, and any relevant test results or imaging studies.
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