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Minimally Invasive Spinal Surgery
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About Us
Doctors
SOLOMON KAMSON, MD, PHD
DAVID HOU, MD
ALLAN KHANH DOAN, DPM
TONY PHAM, DO
YANQUN BU, ARNP
YELENA VERBITSKAYA, PA-C
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UW School of Medicine
World Institute of Pain
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Minimally Invasive Lumbar Decompression Outcomes
Research: Minimally Invasive Lumbar Fusion and Decompression Outcomes
Disc Replacement
SCHEDULE AN APPOINTMENT
CALL NOW (888) 712-0318
Diagnose My Pain
Home
Diagnose My Pain
1
Your Pain
2
Your Information
Step 1: Tell us a bit more about your symptoms and pertinent health history. This will help our surgeons better determine if you are a candidate for minimally invasive spine surgery.
PAIN ASSESSMENT - Please select the option below that indicates your pain level.
*
Please Select One
0 - No Pain
1
2
3
4
5
6
7
8
9
10 - Worst Pain Imaginable
Check the following descriptions if they apply to your symptoms: (Check ALL that apply)
Ache
Burning
Sharp
Throbbing
Shooting
Shock like
Spasms
Numbness
Weakness
Tingling
Pins and Needles
Other
If Other, please specify
What makes it worse? (Check ALL that apply)
Standing
Walking
Sitting
Coughing
Bending forward
Bending backwards
Other
If Other, please specify
1. How did the symptoms start:
*
Motor vehicle accident
Work injury
Chronic
Wear & tear
Other personal injury
Describe personal injury
2. When did your symptoms start:
*
Less than 6 months ago
Less than 1 year ago
Less than 2 years ago
Less than 3 years ago
Over 5 years ago
3. Have you been given any diagnoses?
*
Yes
No
Please tell us what diagnosis have you been given
4. Have you had any diagnostic testing done:
MRI
CT scan
Bone scan
Xray
Electromyogram and Nerve conduction study EMG/NCS
Other
MRI - When?
CT Scan - When?
Bone Scan - When?
Xray - When?
EMG/NCS - When?
Other - Please describe. When?
5. What treatments have you had: (Check ALL that apply)
Spinal injections
Surgery
When did you get the spinal injections?
How many Spinal injections have you received?
What kind of Spinal Surgery have you had?
How many Spinal Surgeries have you had?
Optional - Please share any other information that you would like to convey to one of our surgeons to help us better evaluate your candidacy for minimally invasive spine surgery
Step 2
Name
*
Age
*
Province
*
Country
*
Home Phone
Cell Phone
*
Best Time to Call
Email
*
Enter Email
Confirm Email
How did you hear about us?
Word of mouth
Online - Google
Online - Bing
Online - Yahoo
News paper
Mobile search
Radio commercial
Television ad
Alaska Airlines Magazine
Other
Please specify
Insurance: Spine Institute Northwest will work with you and/or your insurance to make our services as affordable as possible and keep your costs to a minimum!
Please Select One
Private
Personal injury insurance (Motor vehicle incident or other)
Self Pay
Care Credit
Other
PRIVATE - Spine Institute Northwest works with many Private insurance companies. When the time comes to look into your coverage under your plan, our reimbursement specialists will evaluate each situation on a case by case basis and do our best to work with your insurance provider to keep your costs to a minimum.
WORKERS COMPENSATION - Spine Institute Northwest works with private workers compensation. We recommend that you obtain pre-approval of surgery prior to entering our treatment programs.
PERSONAL INJURY INSURANCE - Spine Institute Northwest works with many type of insurers. We accept assignment of benefits and insurance liens. Our patient advocates and reimbursement specialists are always ready to assist you for best results.
MEDICARE, MEDICARE + SUPPLEMENTAL - Payments for spine surgery are excluded from outpatient ambulatory surgery center by Medicare. We do however have a special program for individuals on Medicare and financing options to fit most people’s needs. We will work with you to make our services as affordable as possible.
For your convenience, your Spine care could be expedited by extension of credit through Care Credit upon completion of qualifying application.
SELF PAY - Spine Institute Northwest has helped many individuals on a self pay basis. We offer flexible monthly payments and have affordable financing options to fit most people’s budgets. We will work with you to make our services as affordable as possible.
If Other, please specify
Additional Comments (optional)
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