Forms

To help save time at your first visit to the Rheumatology Specialists of Connecticut, please fill out the following four forms. The Patient Registration Form, as well as some federally mandated regulatory forms (Consent for Treatment, Advanced Directive, HIPAA Questionaire), helps to provide the practice with some basic information to help begin your treatment.

Registration Form

Consent for Treatment

Advanced Directive

HIPAA Form

Also, upon your FIRST VISIT to Dr. Quan, 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. 

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 in 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

If you were a former patient of Dr. Quan's at ECHN, please sign and send/bring this Medical Release form to the following address, prior to your visit:

Medical Release Form


"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."