Interventional Spine Care Information & Forms

To Schedule an Appointment for your Back or Neck Condition

  • Contact the office at 425.899.1210 between 8:30 am and 4:30 pm Monday through Friday.
  • Expect the scheduling process to take at least 10 minutes. Not only do we need to ask you several questions, but we want to have adequate time to address your concerns.
  • Have your referring physician complete a referral form (PDF) and forward the following information to our office:
    ~ demographic information sheet
    ~ most recent diagnostic imaging for area of concern (MRI, CT, x-ray)
    ~ current chart notes
    ~ injection reports
  • Have all insurance and/or claim information available.

Insurance Coverage

  • Please see our list of participating insurance companies. Other plans may be covered; call our office to confirm your plan is participating.
  • Refer to our Insurance and Billing Policies.
  • Please note that insurance pre-authorization is not a guarantee of payment. Each procedure is subject to your particular plan's individual provisions and exclusions.

How to Prepare for your Appointment at the Surgery Center