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Spine & Sports Medical Group

Patient Information

Patient Forms & Downloads

The following resources are currently available for download. Most of these are in Adobe Acrobat (pdf) format. You can download a free Acrobat reader here).
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Patient Instructions

Before your injection procedure

Please arrive 30 minutes before the procedure at the Los Gatos Spinal Diagnostic Center to allow time for registration.
  • You will be asked to sign a consent form for the procedure.
  • The procedure will be done in the Procedure Room in the Center.
  • You might have an IV line placed in your arm; you will receive medications during the procedure to help you relax and help reduce your pain.
  • YOU CANNOT DRIVE AFTER THE PROCEDURE. Please arrange for someone to drive you home.
  • Please do NOT eat or drink 6 HOURS PRIOR to the procedure. If you have to take your medications, do so with as little water as possible. It is advisable not to take any pain medicine before the procedure as it helps in assessing your level of pain after the injection is completed.
  • Please do NOT take ASPIRIN for two weeks before the procedure. Stop taking Motrin, Ibuprofen, Advil, Aleve, Naproxen, Arthrotec, Mobic or any other NSAIDS three (3) days before the procedure. If you are on Coumadin, please let your doctor know immediately.
  • If you are currently taking antibiotics or having an active infection, please let your doctor know.
  • Please leave jewelry and other valuables at home.

After your procedure

  • You will stay in the Recovery Room approximately 5-30 minutes for observation. The nurse will then make an assessment whether you have met discharge criteria.
  • At home, apply ice packs over the areas of injection 20 minutes at a time, three times a day for one or two days following the procedure. This can help relieve the pain at the injection sites.
  • Avoid strenuous exercise — even if you feel great — for at least one week.
  • If you are currently in physical therapy, you may start a 5-7 days after the procedure. Have your physical therapist call your doctor regarding any questions.
  • You may be given a prescription for pain.
  • You can resume all your medications after the procedure.
  • You may resume your normal diet after the procedure.
  • Follow-up appointment will usually be necessary in approximately two weeks. However, call your physician or the nurse for any problems related with the block at any time.
  • Call your doctor for temperatures greater than 101°F, or if there is persistent redness/swelling at injection sites, persistent weakness/numbness, loss of control of bowel or ladder function, persistent dizziness/drowsiness or blurry vision, persistent headache. Call your doctor for any serious concern any time after procedure.
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Patient's Rights & Responsibilities

Los Gatos Spinal Diagnostics, Inc, dba Spine & Sports Surgery Center believes that mutual understanding between patients and their health care providers contributes to positive patient outcomes and enhances patient satisfaction. All Patients have certain rights in the ambulatory surgery setting; accompanying all rights, however, are inherent responsibilities.

The patient has the right to:

Respect and Nondiscrimination

  • Patients have the right to be treated with respect, compassion and consideration in a clean and safe environment.  Patients are treated with dignity, and without discrimination on the basis of race, color, religion, sex, national origin, disability, sexual orientation, marital status, cultural, economic, educational, or religious background or the source of payment for care. 
  • Receive considerate care that respects your value and belief system.
  • Expect, within the capacity of this facility, a reasonable response to a request for services.

Information & Participation in Treatment Decision

  • Patients have the right to information about their evaluation, illnesses, diagnosis, treatment, potential outcomes and aftercare requirements in terms you can understand.
  • The qualification and training of health care professionals serving them.
  • Receive as much information about any proposed treatment or procedure as you may need in order to give informed consent or to refuse this course of treatment. 

      Except in emergencies, this information shall include a description of the procedure      
      or treatment and the medically significant risks involved.

  • Be advised of proposed experimental treatment by the healthcare professional and to refuse in such participation in experimental research affecting their care.
  • The right to obtain information concerning the relationship to other healthcare and education institutions involved in their care, as well as any professional relationships among individuals involved in their treatment. 
  • All patient rights apply to the person who may have legal responsibility to make decision regarding medical care on behalf of the patient.
  • Participate actively in decisions regarding your medical care to the extent permitted by law, including the right to refuse treatment.
  • The right to change physicians at any time if desired.  
  • The right to reasonable continuity of care.
  • Communicate with people inside and outside the facility.  If a language barrier is an issue, you have the right to access to an interpreter.  If you have a hearing impairment, you should have access to a Telecommunication Device for the Deaf or a sign language interpreter.
  • The right to be informed of expected costs of services and to examine and receive and explanation of their bill.

Privacy and Confidentiality

  • Patients have the right to every consideration of personal privacy.  Case discussion, consultation, examination and treatment are conducted so as to protect each patient’s privacy. You have the right to be advised to whom is directly involved the treatment of your care.
  • The right to confidentiality of all communication and records regarding their care.

Patient Responsibilities:

  • Providing, to the best of your knowledge an accurate and complete description of your present medical condition and past medical history, including past illnesses, medications and hospitalizations.
  • Making an effort to understand your healthcare needs and asking your physician or other members of the healthcare team for information relating to your treatment.
  • Reporting any changes in your condition to your physician and indicating whether you understand a suggested course of action.
  • Informing those who treat you whether or not you think you can and want to permit or decline specific treatment.
  • Taking responsibility for your well being if you do not follow the practitioner’s instructions or refuse treatment.
  • Following the Center’s policies which affect patient care and conduct.
  • Abiding by local, state and federal laws.
  • Keeping appointments and cooperating with your physicians and others caring for you.
  • Meeting your financial commitment to Spine & Sports Surgery Center
  • Being considerate of other persons and upholding the rights of all patients as observed by Spine & Sports Surgery Center.

If you have a Complaint or Concern:
The Administration of Spine & Sports Surgery Center  is committed to protecting the patients’ rights and providing quality care.  If you have any complaints or concerns, please ask to speak to the manager.  If you are not able to resolve your concerns, please direct them to the Clinical Director at:

429 Llewellyn Ave
Campbell, CA 95008
(408) 378-6773


Spine & Sports Surgery Center is accredited by the Accreditation Association for Ambulatory Health Care, INC. Any concerns regarding services provided at Spine & Sports Surgery Center can be directed in writing to the AAAHC at 5250 Old Orchard Road, Suite 200, Skokie, IL 60077 or by phone at 847-853-6060, or fax 847-853-9028.
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