What to Bring to An Appointment
- Patient’s insurance card
- Physician referral forms, if required by insurance
- List of prescriptions and/or over-the-counter medications, including dose and frequency
- Information about the patient’s medical and surgical history
- Recent x-rays or relevant records
Know Where You Are Going
Foothills Neurology has several offices throughout the Valley. Make sure you are going to the correct office. Below is a list of our 6 locations with the providers available and procedures performed at each office.
| Foothills Neurology - Main Office | Foothills Neurology - Testing Center | Foothills Neurobehavioral Health |
|---|---|---|
| 4530 E. Muirwood Dr. #111 Phoenix, AZ 85048 | 4530 E. Muirwood Dr. #102 Phoenix, AZ 85048 | 15715 S 46th St. #100 Phoenix, AZ 85048 |
| General Neurology New Patients, Follow Ups, Consults, Physical Therapy | EEG, EMG, NCS, VEP, OCT, HFA, Neurocognitive Testing | Psychiatry Patients, TMS |
| Dr. Fechtel, Dr. Mahant, Dr. Pawar, Dr. Toe, Dr. Shah, A. McLouth, C. Simons, M. Diedrich, S. Hawrylkiw, K. Lorincy | Dr. Weidman, C. O'Neill, M. Preston, R. Ibarra, Y. Eckrich, J. Grady | |
| Phoenix Headache Insitute - PHI | Foothills Neurology - Midtown | Hope Pediatric Neurology |
|---|---|---|
| 8415 N Pima Rd. #175 Scottsdale, AZ 85252 | 4001 N. 3rd St. #290 Phoenix, AZ 85012 Office on 2nd Level. Use Parking Garage. | 5422 W. Thunderbird Rd St. 13 Phoenix, AZ 85306 |
| Headache/Migraine Patients, Infusions | Headache/Migraine Patients, Infusions | Pediatric Neurology, Childrens EEG |
| Dr. Eross, K. Petcher, A. Valenzuela | Dr. Ospina, Dr. Khosla, M. Scaramela | Dr. Peche |
| Mesa Neurology | Ahwatukee Headache Center | |
|---|---|---|
| 1919 E McKellips Rd #102 Mesa, AZ 85203 | 4530 E Muirwood Dr #114 | |
| General Neurology New Patients, Follow Ups | Infusions, Headache/Migraine Patients | |
| Dr. Marzulo, J. Murphy | Dr. Ibarra, Dr. Visser, L. Nelson | |
Existing Patients
If you are a new patient, click here
Symptoms / Conditions Downloads
| General Neurology - New Problem | Submit Electronically | Download/Print |
| Dr. Bowen New Problem | Download/Print | |
| Headache Diary | Download/Print | |
| Controlled-Substance | Download/Print | |
| Botox | Download/Print | |
| PENS | Download/Print | |
| Balancing Body Chemistry Health Assessment | Download/Print | |
| Naturopathic | Download/Print |
Privacy and Release Downloads
| Medical Records Request | Submit Electronically | Download/Print |
| Medical Records Fee | Download/Print | |
| HIPPA Privacy Notice | Download/Print |
Headache Forms Downloads
| Blank Trigger Tracker-PHI | Download/Print |
| Trigger Tracker-PHI | Download/Print |
| Headache Tracker-PHI | Download/Print |
| Headache Impairment Questionaire-PHI | Download/Print |
| Headache Impairment Tracker-PHI | Download/Print |
Diagnostic Exam Preperations
| Routine EEG Instructions | Download/Print | |
| Ambulatory EEG Instructions | Download/Print |