• Request Appointment
  • Patient Portal
  • Make Payment
  • Call 847-255-0900​
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
    • Patient Portal
    • Make a Payment
    • Customer Experience
    • Patient Forms
    • Patient Reviews
    • FAQs
  • Blog
  • Contact
Select Page

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

Michael Bischof Avatar
Michael Bischof
8 months ago
Dr Bhave has been absolutely fantastic! Can’t recommend her enough. Helped (solved) pain issue and was willing to take as much time as I wanted to ask her questions. Highly recommend!
read moreread less
×
Avatar for Michael Bischof
Michael Bischof
8 months ago
Dr Bhave has been absolutely fantastic! Can’t recommend her enough. Helped (solved) pain issue and was willing to take as much time as I wanted to ask her questions. Highly recommend!
Pat Skolar Avatar
Pat Skolar
10 months ago
I suffer from low pain and knee pain, after injections I feel wonderful! Northwest Pain Center is the BEST! The Doctors and staff are professional, knowledgeable and very pleasant.
read moreread less
×
Avatar for Pat Skolar
Pat Skolar
10 months ago
I suffer from low pain and knee pain, after injections I feel wonderful! Northwest Pain Center is the BEST! The Doctors and staff are professional, knowledgeable and very pleasant.
Jeffery Stapelfeld Avatar
Jeffery Stapelfeld
11 months ago
My friend visits there as requested by staff.Excellent care and genuine concern for patients who follows protocol.Outstanding Doctor!
read moreread less
×
Avatar for Jeffery Stapelfeld
Jeffery Stapelfeld
11 months ago
My friend visits there as requested by staff.Excellent care and genuine concern for patients who follows protocol.Outstanding Doctor!
lourdes piccoli Avatar
lourdes piccoli
11 months ago
My PRP experience was handled very efficiently, professionally and everyone involved was cordial, competent and empathetic. I didn’t actually feel any positive result for about 4 months. I will recommend NWSP Center to whomever i encounter that is dealing with pain.
read moreread less
×
Avatar for lourdes piccoli
lourdes piccoli
11 months ago
My PRP experience was handled very efficiently, professionally and everyone involved was cordial, competent and empathetic. I didn’t actually feel any positive result for about 4 months. I will recommend NWSP Center to whomever i encounter that is dealing with pain.
Kasia Tamulska Avatar
Kasia Tamulska
11 months ago
Excellent experience! Highly recommend! I had shoulder pain for 3 years, I’m a very active person so it made my everyday life difficult. I wanted to avoid surgery so I tried regenerative medicine platelets rich plasma and the results are incredible! I avoided surgery and returned to an active lifestyle. Dr. Bukhalo is outstanding doctor, very caring and compassionate.
If you are considering a shoulder surgery check out the advancements at regenerative medicine at NSPC.
I would recommend this practice to everyone!
Thank you Dr. Bukhalo!
read moreread less
×
Avatar for Kasia Tamulska
Kasia Tamulska
11 months ago
Excellent experience! Highly recommend! I had shoulder pain for 3 years, I’m a very active person so it made my everyday life difficult. I wanted to avoid surgery so I tried regenerative medicine platelets rich plasma and the results are incredible! I avoided surgery and returned to an active lifestyle. Dr. Bukhalo is outstanding doctor, very caring and compassionate.
If you are considering a shoulder surgery check out the advancements at regenerative medicine at NSPC.
I would recommend this practice to everyone!
Thank you Dr. Bukhalo!
Barbara Reardon Avatar
Barbara Reardon
11 months ago
A wonderful experience. Knowledgeable, compassionate, talented staff. Clean premises. Promising results
read moreread less
×
Avatar for Barbara Reardon
Barbara Reardon
11 months ago
A wonderful experience. Knowledgeable, compassionate, talented staff. Clean premises. Promising results
Helen Popp Avatar
Helen Popp
1 year ago
I have been a patient of Dr. Bukhalo since 2014! He is a great physician. I have seen him for my back and the last time was my neck in 2023. I fell and hit my head and the pain was excruciating but after a visit with Dr Bukhalo I was as good as new. Thank you Dr. Bukhalo.
read moreread less
×
Avatar for Helen Popp
Helen Popp
1 year ago
I have been a patient of Dr. Bukhalo since 2014! He is a great physician. I have seen him for my back and the last time was my neck in 2023. I fell and hit my head and the pain was excruciating but after a visit with Dr Bukhalo I was as good as new. Thank you Dr. Bukhalo.
Tricia Avatar
Tricia
1 year ago
Dr Bukhalo and his staff are wonderfully pleasant
The atmosphere is very professional and stress free
Dr Bukhalo has helped me to be pain free with injections
His expertise just amazes me
He's a wonderful person and understands pain and the patient personally
read moreread less
×
Avatar for Tricia
Tricia
1 year ago
Dr Bukhalo and his staff are wonderfully pleasant
The atmosphere is very professional and stress free
Dr Bukhalo has helped me to be pain free with injections
His expertise just amazes me
He's a wonderful person and understands pain and the patient personally
Tom Southall Avatar
Tom Southall
1 year ago
Very impressed, thorough, professional, effective and friendly. They listen and are thorough. Thanks to their insights and treatments my back is pain free for the first time in two years. Highly recommended.
read moreread less
×
Avatar for Tom Southall
Tom Southall
1 year ago
Very impressed, thorough, professional, effective and friendly. They listen and are thorough. Thanks to their insights and treatments my back is pain free for the first time in two years. Highly recommended.

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​

Mon-Fri: 8AM–5PM
Sat-Sun: Closed

Regenexx Logo

  • Facebook
  • Instagram
© 2026 Northwest Suburban Pain Center. All rights reserved. | Designed & Managed by Klein New Media Digital Marketing Agency