Rheum1 | Rheumatology Intake Portal

Why This Survey Can Help Save Time

The purpose of this survey is to help begin your treatment plan sooner. The survey carries a $20 fee and is designed to streamline your care. By gathering your symptoms and generating a personalized lab order, referral, and encounter note, it helps your rheumatologist focus on what matters most — potentially starting expediting your treatment plan and making the most of your first visit.

About Dr. [Your Name]

Board-certified rheumatologist with [X] years of experience specializing in autoimmune and inflammatory conditions. Committed to providing personalized, evidence-based care.

Education: [Your Medical School], Residency: [Your Residency Program], Fellowship: [Your Fellowship Program]

Explore Rheumatologic Conditions

Click on any door below to enter our educational resource room for that condition:

Start Your Symptom Survey

This secure survey helps us understand your symptoms and generate the documents you'll need for your visit.

Estimated time: 15-20 minutes

Take the Survey ($20)

What to Expect:

Comprehensive symptom assessment
Personalized lab order based on your responses
Generated encounter note for your records
Secure HIPAA-compliant submission

How It Works

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Step 1

Complete your secure symptom survey (15-20 minutes)

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Step 2

Receive a personalized encounter note & lab plan within 48 hours

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Step 3

Visit the Sterling lab center (9am–3pm) with your generated lab order

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Step 4

Attend your rheumatology appointment with all preliminary work completed

What Patients Are Saying

"This saved me 45 minutes at my first visit and helped my doctor understand my symptoms before we even met."

- Sarah J., Fibromyalgia Patient

"I finally felt like my symptoms were heard and understood. The lab work was exactly what I needed."

- Michael T., Lupus Patient

"The $20 fee was worth it - my first appointment was so much more productive than with previous specialists."

- Anita R., Rheumatoid Arthritis Patient

Frequently Asked Questions

Do I need insurance to use this?

No. The symptom survey is available to all patients, regardless of insurance status. The $20 fee covers survey processing and document generation.

How is my data handled?

Your data is processed securely through Jotform (HIPAA Compliant) and stored privately within a HIPAA compliant ecosystem — not on this site. We follow strict privacy protocols to protect your health information.

What if I already have labs from another provider?

You can bring them to your appointment, but our survey ensures we don't miss any important tests specific to rheumatologic conditions. The generated lab order will account for any recent testing.

Can I get a refund if I don't complete the survey?

The $20 fee is non-refundable as it covers the processing and document generation system. However, if you experience technical difficulties, please contact us for assistance.

How long does it take to get my lab order and encounter note?

Documents are typically generated within 48 hours of survey completion. You'll receive an email notification when they're ready.

Contact Us

Have questions about the survey or your rheumatology care?

Email: TheTeam@Rheum1.org

Phone: (XXX) XXX-XXXX

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