Dr. Masami Hattori

Pain Management in San Francisco
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Pain Management Consult Request:
Dr Masami Hattori
1700 California St Ste 340, San Francisco CA 94107          (cross street Van Ness Ave)
Phone: 415.292.9756

www.drhattori.com

Please fax to (415)673-0516 or email to appointment@drhattori.com


PATIENT NAME:__________________________________


CONTACT #:

 

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DIAGNOSIS:

 

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We accept:

Aetna

Blue Shields/Blue Cross

Brown and Toland

Cigna

Healthnet

Hills Physician

Medicare

United Health Care

Workers Compensation

  •  Consult: evaluate and manage

 

  •  
     Epidural Steroid injection: 
           level ______________________________

 

  • Facet Injection:
           level _______________________________

 

  • Facet Rhizotomy:
           level ______________________________

 

  • Spinal Cord stimulator trial/ implant

 

  • Intrathecal pump trial/ implant

 

  • Sympathetic block:    
           stellate ganglion      lumbar       hypogastric

 

  • Peripheral nerve block: 
           ilioinguinal   pudendal nerve

 

  • Neurolysis:  celiac plexus block

 

  • Joint injection:  
           finger  wrist  elbow   shoulder   hip   knee  ankle  toes

 

  • Trigger Point injection

 

  • Botox injection

 

  • Opioid Detox/ Suboxone:  
           Inpatient     Outpatient