Forms

To help save time during your first visit to Rheumatology Specialists of Connecticut, please fill out the following forms. The Patient Registration Form helps to provide the practice with some basic information to help begin your treatment. Also, upon your FIRST VISIT to Dr. Quan’s office, we will require some basic medical history to help shape the course of treatment.  In order to do so, please fill out our New Patient Intake and Medication List forms. 

- Registration Form

- New Patient Intake

- Medication List

If your visit is for Osteoporosis, please fill out our Osteoporosis form. 

- Osteoporosis Form

If you are ALREADY a patient of Dr. Quan's, please help us keep track of any changes that may occur between visits.  In order to do so, please fill out our Follow-up Intake form.

- Follow-up Intake Form

If your visit is for Rheumatoid Arthritis,  EVERY VISIT will require you to fill out our quick and easy HAQ Assessment form, which will help us monitor your disease activity.

- HAQ Assessment Form

We may need access to medical records held at other medical facilities or by healthcare providers you have seen in the past. In order to do so, please fill out and sign the medical release form below:

- Medical Release Form

Good Faith estimate

- CMS Notice

"I thought Doctor Quan's of the world had become extinct. Where most doctors rush you in & out Doctor Quan does not. He truly cares about your health and spends as much time with u as need be. I found him to be knowledgeable, kind, and a very caring man."