Your time is important to us.

Filling out your registration paperwork prior to your appointment will save you time and allow you to complete the forms in the comfort of your home.

Forms are listed by the doctors' practice.

EvergreenHealth Interventional Spine Care
EvergreenHealth Sport & Spine Care

Doctors: Doug Burns, Paul Dreyfuss, Adrielle Fry, Yung Lee, Brandon Messerli, Alison Stout, Ryan Zehnder

Referral Form (PDF)

Directions to our office (PDF)

Pre Procedure Instructions (PDF)

Pre Procedure Pain Questionnaire (PDF) 

Pre Procedure Evaluation (PDF)

Caudel Epidural Injection (PDF)

Costotransverse Costovertebral Joint Injection (PDF)

Discography (PDF)

Facet Joint Injection (PDF)

Facet Joint Radiofrequency Neurotomy (PDF)

Hip Joint Injection (PDF)

Interlaminar Epidural Injection (PDF)

Medial Branch Blocks (PDF)

Sacroiliac Joint Injection (PDF)

Sacroiliac Joint Radiofrequency Neurotomy (PDF)

Spinal Nerve Root Block (PDF)

Sympathetic Blocks (PDF)

Transforaminal Epidural Injection (PDF)

Post Procedure Instructions (PDF)

Post Procedure Evaluation (PDF)

Post IV Sedation (PDF)

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EvergreenHealth Spine & Neurosurgical Care  

Doctors:  Mark Freeborn, Shiveindra Jeyamohan, Peter Nora

Patient forms will be available online if you provide an email when making your appointment.

Patient forms are also available via tablet at the office.

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ProOrtho

Doctors: J. Scott Price, Jeffrey Roh, Addison Stone

Patient Registration Packet (PDF)

Authorization to Release Information to another Office (PDF)

Driving Directions to ProOrtho Kirkland Office (PDF)