To refer a patient to the Connective Tissue Diseases Clinic, please submit the form below.
Thank you for your interest in the Connective Tissue Diseases Clinic at the Department of Dermatology at Massachusetts General Hospital. Often patients will have previously received treatments for their underlying disease but which still leave the patient with significant disease-associated problems such as disabling Raynaud’s, progressive skin scarring or hair loss. Our objective is to provide a comprehensive medical approach to all aspects of the patient’s condition.
To refer a patient, please fill out this form and submit it to our clinic coordinator. Most referrals are processed within a week. Our coordinator will inform you of the patient’s appointment date and time.
To facilitate evaluation of your patient, please provide the following information: