Injection/Procedure Information
We appreciate the opportunity to provide you with quality interventional spine care to assist you in the diagnosis and treatment of your condition. Please review the documents below that relate to your procedure and call our office with any questions that you might have (303-327-5511).
You may be referred for injection procedures directly by your physician or through our practice. Here is our referral form to make this process as easy as possible. Please also see the practice information section of our web site, www.DenverBackPainSpecialists.com > Our Practice > Forms, for additional forms and general practice information.
Referral to Denver Back Pain Specialists – Dr. Bainbridge and Dr. Trainor
Important General Injection Procedure Patient Information:
Important Pre-Injection Procedure Checklist
Disclosure and Consent for Care
If you are on any of the blood thinners (anticoagulants) on the following downloadable list please discuss this with our office and your prescribing physician. You MUST get the authorization of the prescribing physician before discontinuing the use of prescription medications.
ASRA Anticoag Guidelines List of blood thinners
Blood Thinner Prescribing Provider Request Form
Post-procedure Pain Diaries:
Post Procedure Pain Log- Lumbar
Post Procedure Pain Log – Cervical
Injection Site Information and Forms:
Visit the website of the center where your procedure is scheduled and find forms, maps, and other information for your visit, or find the information below.
Notice of Physician Business Relationships
Colorado Premier Surgery Center
7447 E. Berry Ave. Suite 100
Greenwood Village, CO 80111
720-493-4100
For your upcoming injection at Colorado Premier Surgery Center, you will need to bring the following:
All patients with commercial insurance are expected to bring in payment at check-in in form of check, credit card, or exact cash. These documents are required for each visit to our facility.
The GASC nurse line is available 24 hours a day with pre-operative instructions. Please call 720.493.4109 for instructions for your injection.
Click here for directions to Colorado Premier Surgery Center
www.DenverBackPainSpecialists.com