First Appointment

Where are you located/how do I get to your office?
We are located at 12911 120th Ave NE Suite H-210, Kirkland, WA, just west of Evergreen Hospital. You can click here to be taken to a map and directions to our office.

What do I need for my first appointment?
You will need to complete and bring with you the paperwork you received from us (either via mail or you can download here) as well as your driver’s license, insurance card and any pertinent films. The staff at ProOrtho will need to obtain your medical records and previous physicians notes.

What can I expect at my first appointment?
Your first appointment at our clinic is a consultation. You will see one of our experienced and highly trained providers for the majority of the appointment. They will review your history, perform an exam, review your films and will then consult with Dr. Nelson about your treatment plan. Together with your provider you will then decide what steps are appropriate for you to take.

How long will my first appointment take?
The length of your first appointment will depend upon the complexity of your case. Typically patients spend anywhere from one to two hours at their first appointment. We advise all of our new patients to allot two hours for their initial appointment.

Can I have an injection on the same day as my consult?
A patient’s first appointment is meant solely as a consultation and does not typically involve an injection. However, should the circumstances call for it and all requirements have been met, this could be a possibility.

Will you prescribe pain medications for me?
We are primarily an interventional pain clinic and, while we do sometimes utilize medications in conjunction with injections as a way of controlling pain, we do not typically prescribe medication as a sole means of treatment. However, we look at everyone’s case individually. We can address your questions at the time of your first visit.

Why do I see a Physician Assistant (PA)?
PA’s are healthcare professionals who practice medicine as a part of a team with collaborating physicians. At our clinic, our pain specialized PA’s work as a team under the direction of Dr. Nelson. Our goal is to provide you with excellent care in a timely fashion.


Checking In

Why am I asked to fill out paperwork at every visit?
The providers at the Pain Consultants of Washington ask that you make them aware, via questionnaires, how you’re feeling at every visit so that they can better assess your progress and treatment. For injections, you will also be asked to read and sign a consent form and agreement that you will not operate a motor vehicle (if you are receiving conscious sedation). Filling out this paperwork is an important part of your visit with our providers.

Will there be a significant wait time?
The Pain Consultants of Washington is constantly at work to improve our systems to better serve you, our patient. However, at times delays are unavoidable. The staff at the Pain Consultants of Washington will do our absolute best to keep our patients informed of any delay they can expect in the start of their appointment time.



What are the effects of conscious sedation?
The effects of IV sedation can be felt for up to 24 hours and include: loss of memory, drowsiness, reduced motor control and impaired judgment.

Do I have to bring a driver with me to my appointment?
For patients planning on getting conscious or oral sedation, it is very important that you bring a driver with you to your appointment. Receiving sedation will leave a patient unable and illegal to operate a motor vehicle. While you may have your driver pick you up after your appointment, we ask that they also check in with you to sign our driver verification form.

Can I eat or drink anything before an injection?
For patients planning on having conscious sedation, you MAY NOT eat or drink anything within four hours of your scheduled appointment. This is required to lessen the possibility of aspiration during your procedure.

What should I do with my post-procedure diary?
Some injections are diagnostic in nature. This means that Dr. Nelson is using the injection to determine exactly what nerves are causing your pain. The post-procedure diary is designed to help patients monitor the effectiveness of the injection which will tell Dr. Nelson if he’s located the correct nerves.

How much will my out-of-pocket be for this injection and how much do you charge for an injection?
Variations in insurance contracts make the answer different for every procedure and patient. Patients may contact our billing office at (425) 481-6301, option 1 for billing inquiries. Patients will need to contact their insurance companies to learn what their out-of- pocket expenses will be.


More about Interventional pain management: CLICK HERE