Instructions Before and During Arrival

  • DO NOT eat or drink anything 8 hours prior to your procedure.
  • You are required to have a driver physically present with you at the time of check-in. The procedure will not begin unless a driver has been seen and identified by clinical staff. To ensure a socially distanced clinic space amid the Covid-19 era, we are temporarily allowing drivers to step out of the clinic once the patient is checked in to wait in their car or to get some fresh air as long as they remain on the property.
  • Please note, drivers are not to leave the premises during the duration of the procedure. The nurse will notify the driver via phone once the patient is ready to be picked up.
  • Please arrive & check-in 30 minutes before your scheduled procedure time.
  • If you don’t arrive 30 minutes early, we may not be able to offer sedation and/or your appointment may need to be rescheduled.
  • Failure to comply with the medical procedure requirements of Willamette Pain and Spine may result in a $100 missed-appointment fee. In other words, if you do not follow the pre-procedure instructions, we cannot go through with the procedure, which thereby results in a missed appointment.


  • All injections are performed at the West Linn Office: 2020 8th Avenue STE. 212, West Linn, OR 97068 Phone: (503)512-1212
  • Please check in with the receptionist in our procedure waiting room (at the end of the hallway to the left of our main waiting room)

Blood Thinners/Anicoag Medication

  • Please advise our office if you are taking any blood-thinning medications such as Aspirin, Plavix, Coumadin/Warfarin, Lovenox, Xarelto, Eliquis, Pradaxa. The risk of bleeding can be higher while on these medications. Please notify your provider about your blood thinner.

ALL Procedures

  • You must be off antibiotics for 2 weeks prior to any procedure being performed in our office. if you are currently taking antibiotics for an infection, or have completed a course of antibiotics but it has been less than 2 weeks, please let our office know ASAP.
  • Patients with diabetes; please discuss with your diabetes doctor for instructions regarding diabetic medications on the day of the procedure.
  • You may take all other medications as prescribed by your physicians (unless notified otherwise) the day of your procedure with a small sip of water, but we also ask that you consider taking your medication after the procedure, most importantly for medications that are to be taken with food or a lot of liquid/water.
  • Please take a shower or bath the morning of your procedure. This has been shown to decrease the risk of infection from the procedure.
  • Please do not wear any lotion or cream on the day of your procedure as it can interfere with the procedure itself.
  • For your safety, please remove all jewelry and discuss any body piercings with the physician prior to your procedure.
  • Be prepared to change into a gown as instructed by the nurse/physician.
  • Please inform your physician BEFORE your procedure if you have symptoms such as fever/infection, elevated blood sugar, chest pain, shortness of breath, or any other concerning symptoms.