Patient Information and Clinical Forms

This page contains maps, informational questionnaires and other documents that will prove helpful before your visit with Dr.Weitzenberg.

Map and Driving Directions This is as map of the Santa Rosa Kaiser Permanente medical facility with driving directions. Dr. Weitzenberg's Sports Medicine and Physical Medicne clinics are located in the East medical office building (MOB East) on the second floor in Suite 270.

Dr. Todd W. Weitzenberg This is a document that provides information about Dr. Weitzenberg and is helpful to review prior to your clinic appointment to help you become more familiar with Dr.Weitzenberg.

Pain Diagram This is a document you may be asked to complete prior to your visit. It allows you to describe the type of pain you are experiencing. This can be helpful in making a correct diagnosis and monitoring changes in your condition over time.

Spine Questionnaire This is a document you may be asked to complete prior to your visit. It is a 4 page questionnaire that will help facilitate your appointment when you have a complex injury or condition.

P & S Questionnaire This is a document you may be asked to complete if you are having a Worker's Compensation/Industrial Permanent and Stationary report evaluation.

Website links of my Colleagues:

Dr. Pappas is the Department Chief of Physical Medicine, which makes him my boss. He is also the Santa Rosa elected representative to the Board of The Permanente Medical Group and the Med-Legal Representative for Santa Rosa and the Chief of the Chief's for Physical Medicine across the Northern California Region. He is also an avid marathoner. Learn more about Dr. Pappas at his website: Dr. Kirk Pappas' personal webpage

Dr. Vidaurri is the Assistant Chief of Physical Medicine, which makes him my assistant boss. Dr. Vidaurri was my senior resident at U.C. Davis Medical Center and has always been a mentor and great friend. Learn more about Dr. Vidaurri at his website: Dr. David Vidaurri's personal webpage

Dr. Zaharoff is the Chief of Occupational Medicine, which makes him my boss. Dr. Zaharoff is an Internal Medicine specialist and has pioneered the successful practice of Occupational Medicine and Occupational Health Services within Kaiser Permanente. Learn more about Dr. Zaharoff at his personal website: Dr. Zaharoff's personal webpage

Dr. Lakshmanan is one of my partners and a trusted colleague and friend. We trained together at the U.C. Davis Medical Center and started working at Kaiser Permanente Santa Rosa on the same day. Learn more about Dr. Lakshmanan at his website: Dr. Hari Lakshmanan's personal webpage

Dr. Green is one of my partners and his wife is one of Santa Rosa Kaiser's physicians who specializes in both Internal Medicine and Pediatrics Dr. Cheryl Green's website. Learn more about Dr. Green at his personal website: Dr. Don Green's personal webpage

Dr. Nied is boarded in Family Medicine and is specialty trained/CAQ certified in Sports Medicine having completed a Sports Medicine Fellowship at Michigan State. Dr. Nied and I are working together to develop a Sports Medicine Clinic at Kaiser Santa Rosa. Learn more about Dr. Nied at his persona website: Dr. Rob Nied's personal webpage

Dr Carrie Stewart loves living in Northern California and having the opportunity to take advantage of the many outdoor activities available, including horseback riding and biking. Read More

Dr Tracey Jones believes in the body's own innate ability to heal itself. But, the body needs attention and help to be as healthy and functional as possible. Read More

One of the primary goals of Dr Edward Balbas is to assist patients in achieving maximal independence with optimal medical and functional recovery. Read More

Disclaimer
If you think you have a MEDICAL OR PSYCHIATRIC EMERGENCY, CALL 911 IMMEDIATELY or go to the nearest hospital. DO NOT attempt to access emergency care through this web site. An emergency medical condition is a medical or psychiatric condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in any of the following: serious jeopardy to your health, serious impairment to your bodily functions, or serious dysfunction of any bodily organ or part. An emergency medical condition is also "active labor," which means a labor when there is inadequate time for safe transfer to a Plan hospital (or designated hospital) before delivery or if a transfer poses a threat to the health of the member or unborn child.

This site may contain links to other web sites outside of www.permanente.net. Kaiser Permanente has no control over the content or the availability of these sites, and is not responsible for the privacy practices or the content of such Web sites. Web links are provided as an educational tool, and should not be relied upon for personal diagnosis or treatment. A link or reference to a web site should not be construed as an endorsement of the site or its contents. Any medical content that you feel may be important to your health should always be discussed with your Kaiser Permanente physician.