Register with East-West Rheumatology

Welcome to the East-West Rheumatology registration page. Before scheduling an appointment, we require you to register as a new patient by completing the information below. Once you have registered to use the patient portal, you can schedule an appointment by going to the "appointments" tab on the right side of the portal page. Feel free to call us (703-372-2646) to make an appointment if you prefer.

Please do not use this form if you have already filled it out for East-West Rheumatology. If you are already a registered patient with online access, you can log in here

Basic Contact Information

Date of Birth *

Your Address

Contact Information

Contact Preferences

Emergency Contact

Insurance Information

Note: Our practice does not bill insurance, but this information makes it easier for us to refer you for other services (like labs or specialists)

Medical Information

Please enter your basic medical information below. You may also add or edit this information after you've signed up.

Set Username and Password for Patient Portal

Please create a username and password that you will use to log into the patient portal in the future.

Your username must be at least 4 characters long

Your password must be at least 8 characters long and include at least one number or special character.

The patient portal gives you access to your medical records and lets you securely communicate with your doctors. When you sign up, you will receive an email with instructions for logging in.

Sign with mouse or finger: