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Treatments
Minimally Invasive Spinal Surgery
Endoscopically Assisted Spinal Decompression
Lumbar Interbody Fusion and Facet Fixation
Endoscopic Assisted Nerve Excision
Anterior Cervical Decompression and Fusion Surgery
Interlamina Implant
MIS FUSION SYSTEM
Vertebral Body Augmentation: Vertebroplasty, Kyphoplasty
Regenerative Medicine
Interventional Spinal Injection Techniques
Spinal Cord Stimulators
Non-Narcotic Treatment for Peripheral Nerve Pain
Pain Pump
Disc Replacement
About Us
Doctors
SOLOMON KAMSON, MD, PHD
DAVID HOU, MD
ALLAN KHANH DOAN, DPM
TONY PHAM, DO
YANQUN BU, ARNP
YELENA VERBITSKAYA, PA-C
Facilities
Training
UW School of Medicine
World Institute of Pain
Blog
Video FAQ
Contact Us
Research
Awards, Publications, and Presentations
Minimally Invasive Lumbar Decompression Outcomes
Research: Minimally Invasive Lumbar Fusion and Decompression Outcomes
Disc Replacement
SCHEDULE AN APPOINTMENT
CALL NOW (888) 712-0318
Submit your information to find out if you’re a candidate with a FREE MRI review.
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Submit your information to find out if you’re a candidate with a FREE MRI review.
Contact Information
Name
*
Address
Street Address
*
City
*
Province
*
Postal Code
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Home Phone
Cell Phone
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Best Time to Call
Anytime
9am - 12pm
12pm - 3pm
3pm - 6pm
6pm - 9pm
Email
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More Information
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
Insurance
*
Please Select One
Private
Worker compensation
Medicare, Medicaid, supplement
Personal injury insurance (Motor vehicle incident or other)
Self Pay
Care Credit
Other
Do you have another form of payment?
Cash
Payment Plan
Other Insurance
No
MEDICARE, MEDICARE + SUPPLEMENTAL - Sorry, you are not a candidate for services at our clinic, because government programs do not currently pay for laser spine surgery.
If Other, please specify
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.
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.
Gender
Select Gender
Male
Female
Your Condition
Your Condition (Area of Pain) - Select all that apply
Lumbar (Lower Back)
Thoracic (Mid Back)
Cervical (Neck)
How much pain is there? (Scale 1 -10)
*
1 (Almost no pain)
2
3
4
5 (Moderate amount of pain)
6
7
8
9
10 (Unbearable pain)
I have had the symptoms since (the date of onset)
I feel numbness/tingling/burning/pins/needles in my (Select all that apply)
Neck
Back
Arms
Legs
Buttocks
Do you feel muscle weakness?
Yes
No
Does the pain affect your social or family activities?
Yes
No
Do you have decrease of range of motion?
Yes
No
Have you tried Physical Therapy and Chiropractic adjustments?
Yes
No
Is this a work related injury?
Yes
No
Have you had any open spine surgeries?
Yes
No
Have you had any spinal injections?
Yes
No
Please provide all related information in the space provided below:
Do you currently have your report, or a copy of your MRI or CT scan images?
Yes
No
Would you like to upload your report, MRI or CT scan images?
Yes
No
Click the SUBMIT button, and you will be taken to a page to upload your MRI or CT scan images.
