Get the free foothills neurology 4530 e muirwood dr 111 phoenix az 85048

Foothills Neurology, P.C. 4530 E. Muir wood Drive #111 Phoenix, AZ 85048 480.961.2365 Stuart Herrick, D.O. Percutaneous Electrical Nerve Stimulation Patient Name: Date: Diagnosis: TX #: Consent: I

How to fill out foothills neurology 4530 e

How to fill out foothills neurology 4530 e:

1. Obtain the necessary form from Foothills Neurology by visiting their office or downloading it from their website.
2. Begin by entering your personal information, including your full name, date of birth, and contact details.
3. Provide your medical history, including any previous diagnoses, medications you are currently taking, and any allergies you may have.
4. Specify the reason for your visit to Foothills Neurology, whether it is for a general check-up, a specific symptom, or a referral from another healthcare provider.
5. Fill out any additional sections that are relevant to your visit, such as insurance information or emergency contact details.
6. Double-check your information for accuracy and completeness before submitting the form.

Who needs Foothills Neurology 4530 e:

1. Individuals who are seeking neurological care or consultation may need Foothills Neurology 4530 e.
2. Those who have experienced neurological symptoms, such as headaches, seizures, or numbness/tingling, might benefit from visiting Foothills Neurology 4530 e.
3. Anyone who has a referral from their primary care physician or another medical specialist for a neurological evaluation will find Foothills Neurology 4530 e beneficial.

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What is foothills neurology 4530 e?

Foothills Neurology 4530 e is a specific form or document related to neurology services provided by a clinic or medical facility located at 4530 E.

Who is required to file foothills neurology 4530 e?

Medical staff or administrators responsible for documenting and reporting neurology services are required to file Foothills Neurology 4530 e.

How to fill out foothills neurology 4530 e?

Foothills Neurology 4530 e should be filled out by providing accurate and detailed information about the neurology services rendered at the clinic or facility.

What is the purpose of foothills neurology 4530 e?

The purpose of Foothills Neurology 4530 e is to document and report neurology services provided to patients for record-keeping and billing purposes.

What information must be reported on foothills neurology 4530 e?

Information such as patient demographics, diagnosis, treatment provided, dates of service, and billing codes must be reported on Foothills Neurology 4530 e.

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