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Northwest Suburban Pain Center
  • Home
  • About
    • Dr. Yuriy Bukhalo
    • Dr. Meghan Bhave
    • Dr. Kattalai Kailasam
    • Ashley Dalton, PA-C
    • Jessica King, PA-C
  • Our Services
    • Nerve & Neuropathic Pain
      • Diabetic Neuropathy
      • Occipital Neuralgia & Headaches
      • Herpetic & Post Herpetic Neuralgia
    • Spine & Disc Conditions
      • Spine Disc Related Pain
      • Spine Facet & Nerve Root Pain
      • Post-Surgical Failed Back Syndrome
    • Acute & Injury-Related Pain
      • Post Traumatic Pain
      • Automobile Case Related Injuries
      • Workplace Injuries
      • Sports Injuries
    • Additional Services
      • Joint Pain & Arthritis
      • Regenerative Orthopedics
      • PRP / Platelet Rich Plasma
      • Bone Marrow Concentrate
      • Pelvic Pain
      • Other Pain Problems
  • Regenerative Orthopedics
    • Regenexx
    • Areas Treated
      • Spine
      • Knee
      • Shoulder
      • Hip
      • Foot & Ankle
      • Hand & Wrist
      • Elbow
    • Outcome Data
    • Regenexx Recorded Webinars
    • Bone Marrow Concentrate
    • PRP / Platelet Rich Plasma
    • Platelet Lysate
    • Are You a Candidate?
    • Research
    • Regenexx FAQs
  • Patient Resources
    • Make a Payment
    • Customer Experience
    • Patient Forms
    • Patient Reviews
    • FAQs
  • Blog
  • Contact
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Patient Forms

Please select the forms relevant to your visit from the list below. If you are unsure which documents you need, feel free to contact our office for guidance.

Pain Evaluation (PDF)

Workman Compensation (PDF)

Privacy Acknowledgment (PDF)

Patient Reviews

Dr. BUKHALO is an exceptional doctor. I met him in two different occations for my...
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Magda Warchulski
My friend visits there as requested by staff.Excellent care and genuine concern for patients who...
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Jeffery Stapelfeld
I suffer from low pain and knee pain, after injections I feel wonderful! Northwest Pain...
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Pat Skolar
Dr Bhave has been absolutely fantastic! Can’t recommend her enough. Helped (solved) pain issue and...
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Michael Bischof
I had an outstanding experience with Dr. Yuriy Bukhalo and the entire team at Northwest...
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Rob S.
Very impressed, thorough, professional, effective and friendly. They listen and are thorough. Thanks to their...
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Tom Southall
My PRP experience was handled very efficiently, professionally and everyone involved was cordial, competent and...
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Lourdes Piccoli
Dr Bukhalo and his staff are wonderfully pleasantThe atmosphere is very professional and stress freeDr...
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Tricia
I have been a patient of Dr. Bukhalo since 2014! He is a great physician....
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Helen Popp
Excellent experience! Highly recommend! I had shoulder pain for 3 years, I’m a very active...
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Kasia Tamulska

South Arlington
1675 South Arlington Heights Road
Arlington Heights, IL 60005

South Barrington
1 Executive Ct., Suite 2
South Barrington, IL 60010

Call: 847-255-0900​

Sun: Closed
Mon-Fri: 8AM–5PM
Sat: 9AM–1PM

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