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Acute Pain Therapies & Ketamine Clinic in Seattle

1310 116th Ave NE Suite A
Bellevue, WA 98004
(425) 440-3351

Acute Pain Therapies & Ketamine Clinic in Seattle

13033 Bel-Red Rd. Suite 120
Bellevue, WA 98005
(425) 440-3351

Patient Inquiry

Name*
First Last
Email*
Phone*
Insurance Carrier*
Condition to be Treated
Please check all that apply.
- Painful Rehabilitation
- Depression
- CRPS
- Painful Sports Injury
- Painful Traumatic Injury
- Chronic Tendon Pain
- Chronic Ligamentous Pain
- Perioperative Pain Control
- Improving Functional Status
- Nerve Entrapment
- Nerve Pain
- Shingles Pain (herpes zoster pain, post-herpetuc neuralgia
- Meralgia
- Headaches
- Neck & Shoulder Pain
- Chronic Back Pain
- Chronic Neck Pain
Protocols
Please check all that apply.
- Ketamine Infusions
- Nerve Cryotherapy
- Nerve Catheter Placement
- Diagnostics Musculoskeletal Ultrasound
- Genicular Nerve Radiofrequency Ablation
- Extracranial Nerve Blocks for Headaches
- Buprenorphine (Sublocade, Suboxone)
- Esketamine Nasal Spray
- Pulsed Radiofrequency Ablation
Procedures Dr. Julian
Please check all that apply.
- Trigger Point Injections
- Botox for Migraines
- Third ChoiceBotox for Cervical Dystonia
- Botox for Spasmodic Torticollis
Cervical, thoracic and lumbar spine injections
Please check all that apply.
- Facet Injections
- Medial branch blocks, diagnostic
- Radiofrequency nerve ablation
- Interlaminar Epidural steroid injections
- Transforaminal epidural steroid injections
- Selective nerve root blocks diagnostic
- Caudal epidural
- Sacrococcygeal ligament injection
- Coccygeal injections
- Epidural blood patch
- Intra-articular joint steroid injections: hip, knee, ankle, shoulder, elbow, wrist, finger
- Trochanteric bursa injections
- Knee Synvisc and Durolane Injections
- SI joint injections
- SI joint radiofrequency ablation
- Occipital nerve blocks
- Sphenopalatine ganglion block
- TMJ steroid injection
- Trigeminal nerve block
- Suprascapular nerve block
- Suprascapular nerve radiofrequency ablation
- Intercostal nerve block
- Acromioclavicular joint injections
- Genicular nerve block
- Genicular nerve radiofrequency ablation
- Pudendal nerve block
- Piriformis muscle injection
- Cluneal nerve blocks
- Lateral femoral cutaneous nerve blocks
Sympathetic Blocks
Please check all that apply.
- Stellate Ganglion block
- Celiac plexus bloc
- Third ChoiceLumbar sympathetic block
- Ganglion of Impar block
Implantable devices
Please check all that apply.
- Spinal Cord Stimulation
- Peripheral Nerve Stimulation
Regenerative Medicine Stem Cell (autologous or placental) Platelet Rich Plasma
Please check all that apply.
- Stem Cell (autologous or placental)
- Platelet Rich Plasma
Not Sure
- Not Sure
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Bellevue Ketamine
Bellevue PRP

Locations

Acute Pain Therapies & Ketamine Clinic in Seattle
1310 116th Ave NE Suite A
Bellevue, WA 98004
(425) 440-3351

Acute Pain Therapies & Ketamine Clinic in Seattle
13033 Bel-Red Rd. Suite 120
Bellevue, WA 98005
(425) 440-3351

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Posts

Phantom Limb Pain November 12, 2020
Stepwise Progression of Regenerative Medicine Offerings May 15, 2020
What are the benefits of Telemedicine? April 29, 2020

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About
Conditions
Services
Providers
- Generate Referral
- Upload Medical Documents
Contact
Blog
(425) 440.3351