SHOULDER SURGERY + SPORTS MEDICINE
  • DR. JUREK
    • APPROACH AND PHILOSOPHY
    • TRAINING
    • VOLUNTEER WORK
    • OUTSIDE OF MEDICINE
    • INSTAGRAM
    • PATIENT COMMENTS
  • THE OFFICE
    • FIRST HILL
    • WEST SEATTLE
    • VIRGINIA MASON HOSPITAL
    • SEATTLE SURGERY CENTER
    • SWEDISH ORTHOPEDIC INSTITUTE
  • PATIENT INFO
    • SHOULDER CONDITIONS
    • SPORTS MEDICINE
    • CORTISONE INJECTIONS
  • SURGERY
    • PREOP INFORMATION
    • GENERAL POSTOP INFORMATION
    • NARCOTIC FACT SHEET
    • NARCOTIC DISPOSAL
    • SPECIFIC POSTOP INSTRUCTIONS
    • SURGERY LOCATIONS
    • SHOULDER IMMOBILIZER INFO
    • ICE | CRYO-CUFF
    • PHYSICAL THERAPY POSTOP PROTOCOLS
  • FORMS
    • REQUEST AN APPOINTMENT
    • PATIENT FEEDBACK/TESTIMONIAL FORM
    • SPECIFIC POSTOP INSTRUCTION FORMS
  • BLOG
  • CONTACT

    Patient Feedback/Testimonial Form

    We love to hear from you!  Please share your experience with Dr. Jurek and her staff.  You can submit a patient testimonial that may be posted on our website. We would like to hear about your injury and treatment, your care by Dr. Jurek and her staff, your achievements, and your return to doing what you love.  You can also submit action photos* that can be viewed along with your testimonial.  Thank you for your submission!
    ​
    *You are able to upload an action photo.  There is a field to upload a file, you have the option to submit a file at that time. Files can be submitted as an Office file or most picture format files (i.e., JPEG).

    Max file size: 20MB
Submit
Sara Jurek, MD
First Hill: 206.386.2600
Copyright © 2020  Sara Jurek, MD.   All rights reserved.  601 Broadway Seattle, WA 98122


Contact        About         
  • DR. JUREK
    • APPROACH AND PHILOSOPHY
    • TRAINING
    • VOLUNTEER WORK
    • OUTSIDE OF MEDICINE
    • INSTAGRAM
    • PATIENT COMMENTS
  • THE OFFICE
    • FIRST HILL
    • WEST SEATTLE
    • VIRGINIA MASON HOSPITAL
    • SEATTLE SURGERY CENTER
    • SWEDISH ORTHOPEDIC INSTITUTE
  • PATIENT INFO
    • SHOULDER CONDITIONS
    • SPORTS MEDICINE
    • CORTISONE INJECTIONS
  • SURGERY
    • PREOP INFORMATION
    • GENERAL POSTOP INFORMATION
    • NARCOTIC FACT SHEET
    • NARCOTIC DISPOSAL
    • SPECIFIC POSTOP INSTRUCTIONS
    • SURGERY LOCATIONS
    • SHOULDER IMMOBILIZER INFO
    • ICE | CRYO-CUFF
    • PHYSICAL THERAPY POSTOP PROTOCOLS
  • FORMS
    • REQUEST AN APPOINTMENT
    • PATIENT FEEDBACK/TESTIMONIAL FORM
    • SPECIFIC POSTOP INSTRUCTION FORMS
  • BLOG
  • CONTACT