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).
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Indicates required field
Name
*
First
Last
Email (enter twice to verify)
*
*
Sport And Position Played
*
Level Of Participation (e.g., collegiate, pro, weekend warrior)
*
Personal Experience That You Want To Share
*
Permission to Use Your Submission Online
*
Yes
No
Upload File - Action Photo
*
Max file size: 20MB
Additional Comments Related to Uploaded File
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We want you to share your experience. Please select one of the following options.
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It's okay to post with my name included
It's okay to post anonymously
This is for feedback purposes only; do not post
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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