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Home > Diseases > Questions & Answers > Arthritis Answers
Created on: 12/12/08 - Email to friend - Print Page

Arthritis Answers

Please use this form to ask us about arthritis and treatment issues**, or you may browse other resources to get the answers you need:

** MEDICAL DISCLAIMER: We answer questions with our most up-to-date general information. Only your physician with your full medical history can determine what is advisable for you.

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Email Address:* 

Subject:*   







Your Question:*

Do you have arthritis?
 Yes    No    Do Not Know

If yes, what type of arthritis?
You can have more than one type so please indicate multiple if applicable
 Osteoarthritis (degenerative, degenerative disc)
 Rheumatoid
 Fibromyalgia
 Other: 

Date of Birth:   / / MM/DD/YYYY

Does a Friend/Relative have arthritis?
 Yes    No    Do Not Know

If yes, what type of arthritis?
You can have more than one type so please indicate multiple if applicable.
 Osteoarthritis (degenerative, degenerative disc)
 Rheumatoid
 Fibromyalgia
 Other: 

OFTEN WE WILL SEND ADDITIONAL INFORMATION BY POSTAL MAIL:
If you supply the following it will speed delivery of information. We will prepare your materials within 24 to 36 hours after receiving your request. Expect delivery in 10 to 20 days since we use non-profit mailing rates to send you this free information.

Prefix:

 Mr.    Mrs.    Ms.    Dr.

First Name:*
Middle Initial:
Last Name:*
Suffix:
Degree:
Address Line 1:*


Home   Office

Address Line 2
(Apt./Unit/Suite):
Address Line 3:
City:*
State/Province:*
Zip / Postal Code:*
Country:
Day Phone: - -

IS THIS YOUR FIRST CONTACT WITH THE ARTHRITIS FOUNDATION?
 Yes    No    Do Not Know


 

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