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About Us
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Federal Way Location
Our Staff
Schedule An Appointment
Testimonials
Services
Pain Treatments
Pain Medication Management
Auto Accident Treatment
Workers Compensation
Surgery Center
Telemedicine
Ketamine Therapy
Depression
Anxiety
PTSD
Bipolar Disorder
OCD
Suicidal Ideation
Postpartum Depression
Chronic Pain
Pain Conditions
Spine & Back Conditions
Back Pain
Degenerative Disc Disease
Low Back Pain
Neck Pain
Sacroiliac Joint Pain
Sciatica
Upper Back Pain
Joint & Limb Pain
Arthritis
Knee Pain
Joint Pain
Shoulder Pain
Nerve & Neuropathic Pain
Carpal Tunnel Syndrome
Chronic Pain
Complex Regional Pain Syndrome
Fibromyalgia
Headaches & Migraines
Migraine Headaches
Tension Headaches
Other Pain Conditions
Cancer Pain
Foot Pain
Plantar Fasciitis
Testicular Pain
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After filling out the information below, please email the following materials to
info@seattlepainrelief.com
History and physical or recent progress notes
Recent imaging, if applicable
Patient's Name
First
Last
Patient's Date of Birth
Patient's Phone Number
Chief Complaint / Diagnosis
Patient's Insurance Company
Aetna
Blue Cross Blue Shield
Cigna
First Choice
Humana PPO
Kaiser PPO
Labor and Industries
Life Wise
Medicare
Meritain
PIP
Premera
Regence
HMA
Tricare/Triwest
Uniform
United Health Care PPO
Workers Compensation
Other Insurance
Please select other if the insurance is not listed or self pay.
Other Insurancce
Referring Physicians Name
Referring Physicians Office Number
Treatment Options
Back Pain Treatments
Caudal Steroid Injection
Cervical Steroid Injection
Disc Denervation
Dorsal Root Ganglion Stimulation
Epidural Steroid Injection
Facet Injections
Ganglion Impar Block
Genicular Nerve Block
Hip Injections
Intercostal Nerve Block
Knee Joint Injections
Medial Branch Blocks
Occipital Nerve Block
Peripheral Nerve Stimulation
Piriformis Injection
Radiofrequency Ablation
Sacroiliac Joint Injections
Shoulder Injections
Sphenopalatine Ganglion Block
Spinal Cord Stimulator Implants
Stellate Ganglion Block
Supartz Series
Superior Hypogastric Plexus Block
Sympathetic Block
Trigger Point Injections
Trochanteric Bursa Injection
Whiplash and Back Injuries from Car Accidents
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About Us
Our Story
Federal Way Location
Our Staff
Schedule An Appointment
Testimonials
Services
Pain Treatments
Pain Medication Management
Auto Accident Treatment
Workers Compensation
Surgery Center
Telemedicine
Ketamine Therapy
Depression
Anxiety
PTSD
Bipolar Disorder
OCD
Suicidal Ideation
Postpartum Depression
Chronic Pain
Pain Conditions
Spine & Back Conditions
Back Pain
Degenerative Disc Disease
Low Back Pain
Neck Pain
Sacroiliac Joint Pain
Sciatica
Upper Back Pain
Joint & Limb Pain
Arthritis
Knee Pain
Joint Pain
Shoulder Pain
Nerve & Neuropathic Pain
Carpal Tunnel Syndrome
Chronic Pain
Complex Regional Pain Syndrome
Fibromyalgia
Headaches & Migraines
Migraine Headaches
Tension Headaches
Other Pain Conditions
Cancer Pain
Foot Pain
Plantar Fasciitis
Testicular Pain
Providers
Resources
For Patients
New Patient Form
Records Release Form
ORT Survey
Blog
Insurance
Referrals
Physician Referral
Attorney Referral
Contact Us
Book Your Appointment