St. Sampson Medical Clinic
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Rheumatology Referral Form
Cardiology Referral Form
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Rheumatology Clinic Data
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Below is the referral form for new rheumatology patients only. Please note that this clinic will not provide narcotics and is not equipped for disability evaluations.
Download the referral form:
/uploads/3/4/2/9/34298396/referralform.pdf