Advanced Rheumatlogy


Since the majority of our patients are immunosuppressed, our practice must take extra steps to protect everyone. The following restrictions are in place for entry into our clinic:

  • SCHEDULED APPOINTMENT REQUIRED: Only patients with a scheduled appointment may enter our office.

  • FACE COVERING WORN AT ALL TIMES: This is required even if you have been vaccinated.  We have masks if you need one

  • TEMPERATURE SCREENING & HEALTH QUESTIONNAIRE: A short screening when checking in.

  • PHYSICAL DISTANCING OF AT LEAST 6 FEET: Even while wearing a mask

  • FOR THOSE WHO'VE HAD COVID: If you tested positive for COVID-19, you must satisfy one of the following criteria before enter our office:

    • Present a negative PCR COVID test dated after your COVID infection.    (unfortunately, negative rapid tests cannot be accepted) 


    • It has been 28 days since your positive COVID-19 test


COVID-19 Vaccine Statement

We are recommending our patients get a COVID-19 vaccine & booster unless you have had problems with vaccines in the past.

Rituxan & Ruxience patients can get the COVID-19 vaccine & booster, but they should call us to coordinate the timing of the vaccine and their next treatment.

If you do receive the COVID-19 vaccine, we are recommending you do not stop your medications prescribed by our office.  

Since the COVID-19 vaccines were authorized many questions have surfaced about whether people who take immunosuppressant medications can or should receive a vaccine. Concerns have largely stemmed from the fact that patients who take these immunosuppressing medications were not included in the clinical trials that led to vaccine authorizations. This means there is not yet a lot of data on how effective they are in people whose immune systems function differently, because of medication or underlying health issues like autoimmune conditions.  However, researchers are starting to collect and analyze data on whether the vaccines have different efficacy or side effects in these patient populations.  For example, preliminary data shows about an 8% increase in flares for musculoskeletal conditions after receving the vaccine. 

Many major medical organizations are recommending the vaccine to people on immunosuppressants. The general consensus of Rheumatologists, based on what we know about the mRNA COVID-19 vaccines, is the COVID-19 vaccines should be safe for people on immunosuppressant therapy, but it may be less effective than advertised.

If you have any questions, please do not hesitate to call us or message us in the patient portal.