Rheumatology Referral Stepwise Form

Rheumatology Referral Decision Form

Step 1: Basic Workup

Joint pain? (Visible swelling/synovitis OR morning stiffness ≥30 mins + tenderness)
Yes
No

Malar rash? (Currently active rash lasting 48 hrs–6 months with ACLE features)
Yes
No

Prior diagnosis of RA, PsA, or SLE?
Yes (Previously diagnosed by Rheum or Derm with records uploaded)
No

Treat as new patient (start at Basic Workup) was selected.

On DMARD or chronic steroids? (without compelling rheum evidence)
No (Proceed with workup)
Yes (Contact Dr. Linfante - do not refer)

Based on labs and exam findings, please classify the referral category.

Referral Category: