Forms

These are Dr. Attaman’s patient intake forms. Please click the button below, then enter the your name and email address as requested. You may then choose to complete it online OR print it out.

The online forms are highly encrypted and very secure.

Please be sure to arrive to your appointment with the form completed, or you may be rescheduled, as the form is quite detailed. This lengthy information really helps Dr. Attaman figure out your complex pain issues and “think outside the box” to help you!

Our treatments include: Stem Cell Therapy (visit our Regenexx site) | Platelet Rich Plasma Therapy (PRP) | Prolotherapy | Pudendal Neuralgia Treatment | Epidural Steroid Injections | see more pain-control procedures

THIS NOTICE MUST BE PROVIDED TO YOU UNDER WASHINGTON LAW.

This health care practitioner performs one or more stem cell therapies that have not yet been approved by the United States food and drug administration. You are encouraged to consult with your primary care provider prior to undergoing a stem cell therapy.