Screen Reader Mode Icon
Please answer the questions below truthfully and completely, thank you. Feel free to access your my chart or look up anything that is not known.

Question Title

* 1. Do you have chronic pain?

Question Title

* 2. D0 you have chronic joint swelling or stiffness?

Question Title

* 3. Do you experience increased fatigue?

Question Title

* 4. Do you have confirmed Rhematoid Arthritis?

Question Title

* 5. Do you have a positive anti-cc blood test (not required)

Question Title

* 6. Are you Sero negative or Sero positive rhumatory factor?

Question Title

* 7. Do you have an elevated Sed rate and or + ANA?

Question Title

* 8. Are you receiving Methotrexate treatment and folate acid?

Question Title

* 9. Are you a male or female ages 18-74 years old?

Question Title

* 10. Have you been diagnosed with rheumatoid arthritis > 6 months ago?

Question Title

* 11. Have you been on a stable regimen of 10-15mg/wk for 8 weeks?

Question Title

* 12. Do you have > or = to 6 tender joints

Question Title

* 13. Do you have > or = to 6 swollen joints

Question Title

* 14. Do you have a negative pregnancy test and agree to use birth control?

Question Title

* 15. Do you have platelets > 100?

Question Title

* 16. Is HgB > or = to 10g/dl?

Question Title

* 17. Do you have normal liver functon test?

Question Title

* 18. Is your total bilirubin < or = to 2?

Question Title

* 19. Is your creatine < or = to 1.5

Question Title

* 20. Have you had an inadequate response to at least 1 anti-TNF drug for at least 3 months

Question Title

* 21. Are you on a stable regime of oral corticosteroids < or = 10mg/day for more than 2 weeks

0 of 21 answered
 

T