Patient Resources

NeuroDiagnostic Laboratories is dedicated to complete patient care by offering the best medical knowledge and experience, the best technology, and unparalleled service. Most individuals are treated on an outpatient basis, meaning their evaluation, tests and treatments are completed in the clinic and results are sent to their primary care physician.

Patient forms

Download Patient Forms

Forms are in Adobe PDF format.

Patient Forms

Neurology

Sleep Medicine

FORMULARIOS DE PACIENTES EN ESPAÑOL

Neurología

Medicina del Sueño

test preparations

How to Prepare for Your Test

If this is your first visit to NeuroDiagnostic Laboratories, you will find the tips below helpful for preparation. Please arrive 15 minutes before your scheduled appointment to ensure adequate time for your test.

Sleep Medicine

TELEMEDICINE APPOINTMENTS ** all preparations below must be completed 48-hours prior to your appointment or the appointment will automatically be cancelled.**

Complete all forms by logging on to the patient portal. It is very important that all forms are completed thoroughly and accurately. Please plan on allowing at least 20 minutes to complete all forms.

Submit insurance and photo ID on the portal, email, or text

Submit co-pays or any office fees via provided link

Download the Zoom app onto your phone or smart device well ahead of the appointment

Login to the Zoom telehealth appointment 15 minutes early via the link sent to your email from AdvancedMD. When you click to join the meeting, you should see a screen that states you are waiting for the provider. Once the provider joins the meeting you will need to click join again and connect with video and audio.

Bring with you or have your referring medical provider submit any previous sleep studies or recent echocardiogram results.

In-Office Appointment

Complete all forms online OR arrive 30 minutes prior to check-in to complete your patient forms.

Bring your insurance card and photo ID to the appointment.

Bring a copy of your current medication list.
- Name of Medication, Strength/Dosage

Bring with you or have your referring medical provider submit any previous sleep studies or recent echocardiogram results.

Sleep Study

Bring your insurance card and photo ID to the appointment.

Arrive at the scheduled appointment time.

You may bring sleep aids/medications that make you drowsy to the appointment; however, you must consult with the technologist before taking them. Take all of your medications as directed by your doctor.

DO NOT
- Drink alcohol on the day of the study
- Take naps on the day of the study
- Consume caffeine after 10 a.m. on the day of the study
- Bring anyone with you to stay overnight during the study unless they are a medically necessary caregiver. If you require a caregiver or any special accommodations, you must notify us ahead of time.

Hair must be dry upon arrival

Bring comfortable clothes to sleep in

You will be ready to leave in the morning between 4 and 5 A.M. depending on your appointment time and stage of sleep

The hook-up will include a clay like paste in your hair to keep the EEG electrodes in place. You will want to go home and take a shower before continuing with your day.

Let us know if you require any special accommodations (service animal, wheelchair, etc.) so that we can best accommodate you.

VNG – Videonystagmography

Complete all forms online OR arrive 20 minutes prior to check-in to complete your patient forms.

Bring your insurance card and photo ID to the appointment.

Bring a copy of your current medication list.
- Name of Medication, Strength/Dosage, Frequency, Method (Oral, topical, IV, Inhalation, Sublingual (under the tongue))

If possible, refrain from taking the following (if your prescribing doctor allows).
- Anti-dizzy medications such as Meclizine and Dramamine – 48-hours prior
- Sedatives 48-hours prior
- Medications for seizures, heart conditions, diabetes, or any life-sustaining medications should be taken as usual.

If possible, no marijuana use (medical or recreational) 24-hours prior to the appointment.

DO NOT
- Wear any type of eye make-up including mascara, eyeliner, shadow. Permanent eye makeup must be covered with white eyeliner.
- Consume caffeine 12-hours prior to your appointment
- Use tobacco use 1-hour prior to appointment
- Drink alcohol 48-hours prior to appointment
- Eat a heavy meal 3-hours prior to your appointment. If you must eat within this period, eat a light meal or snack only.

Part of the test requires that we blow warm and cold air into the inner ear. If you have extensive ear wax build up, be sure to have that cleared prior to the appointment.

Patients may experience extreme dizziness and nausea and it may not be safe to drive.

Only the patient will be allowed in the testing room.

Let us know if you require any special accommodations (service animal, wheelchair, etc) so that we can best accommodate you.

EMG/NCV – Electromyography/Nerve Conduction Study

Complete all forms online OR arrive 20 minutes prior to check-in to complete your patient forms.

Bring your insurance card and photo ID to the appointment.

Bring a copy of your current medication list.
- Name of Medication, Strength/Dosage, Frequency, Method (Oral, topical, IV, Inhalation, Sublingual (under the tongue))

No lotion, cream, or oils on the extremities being tested on the day of the appointment.

Wear loose-fitting clothing on affected extremities or clothing that is easy to remove if necessary to effectively conduct the test. We will provide paper shorts or a paper gown in this instance.

Only the patient will be allowed in the testing room.

Let us know if you require any special accommodations (service animal, wheelchair, etc) so that we can best accommodate you.

EEG – Electroencephalogram

Complete all forms online OR arrive 20 minutes prior to check-in to complete your patient forms.

Bring your insurance card and photo ID to the appointment.

Bring a copy of your current medication list.
- Name of Medication, Strength/Dosage, Frequency, Method (Oral, topical, IV, Inhalation, Sublingual (under the tongue))

DO NOT
- Sleep more than 4-hours on the day of your test (DOES NOT APPLY TO 24HR, 48HR & 72HR EEGS).
- Consume caffeine for 24-hours prior to your test

Hair must be clean, dry, and product free (no gel, hairspray, mousse, etc.).

Only the patient will be allowed in the testing room.

locations

our clinics

Avondale

10320 W McDowell Road,

Suite K1135, Avondale, AZ 85392

Located in Building K in the southwest corner of the Gateway Office Park.

Services Available

Mesa

6136 E Brown Road,

Suite 103, Mesa, AZ 85205

Located in the southeast corner of the Red Mountain Corporate Center.

Services Available

Phoenix

2423 W Dunlap Avenue,

Suite 175, Phoenix, AZ 85021

Located inside the Dunlap Health Center.

Services Available

Scottsdale

8687 E Via De Ventura,

Suite 214, Phoenix, AZ 85258

Located inside the Ventura Gateway building

Services Available

privacy practices

Confidentiality

NeuroDiagnostic Laboratories is committed to protecting patients’ privacy and maintaining confidentiality.

Notice of Privacy Practices

Effective Date: October 2013

THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

PLEASE REVIEW IT CAREFULLY.

1. Purpose:

American Medical Diagnostics, Ltd (AMDx, Ltd.), NeuroDiagnostic Laboratories, LLC (NDL) and their employees follow the privacy practices described within this notice. AMDx, Ltd. / NDL maintain your health information confidential records, as required by law. AMDx, Ltd./ NDL may use, disclose or share your health information only as pertains to your treatment, payment of services and the general healthcare operations, necessary to provide you with quality health care.

2. What Are Treatment, Payment, and Health Care Operations?

Treatment may include sharing information with the other health care providers who are involved in your care. For example, your health care provider may need to share information about your condition with a pharmacist in order for you to receive medications. Payment may include use of your health information as required by your insurance carrier to obtain prior authorization, when applicable, and payment for services rendered. Health Care Operations may include limited use of your health information to help improve the quality of your care and/or for educational purposes as it relates to the training of AMDx, Ltd. / NDL employees and staff.

3. How Will AMDx and NDL Use and Disclose My Health Information?

Your health information may be used for the following reasons or disclosed to the following entities, unless you request restrictions on a specific use or disclosure.

Note: You may refuse any/all communications outlined below, when shown with an asterisk (*).

Family members or close friends involved in your care or payment for treatment(*)
Disaster relief agency if you are involved in a disaster relief effort(*)
Information provided to you, regarding alternative treatments or services related to your health(*)
Appointment reminders
Public Health Activities, such as; disease prevention, injury or disability, reporting of births/deaths, reporting adverse reactions to medications or product concerns, notification of recalls, infectious disease control, and notification to government agencies for suspected abuse, neglect or domestic violence
Health Oversight Activities, such as: audits, inspections, investigation and licensure
Law enforcement
Coroners, Medical Examiners and Funeral Directors
Organ and Tissue Donation.
Certain research projects
Disclosures necessary to prevent serious threats to health or safety
Military Command Authorities, if you are a member of the armed forces or a member of a foreign military authority
National security and intelligence activities to authorized person who use the disclose to conduct special investigations
Worker’s Compensation Payers, as it relates to any injury and/or illness reported to or by a worker’s compensation office
Use or disclosure necessary to initiate and complete health care treatment, payment and operations or functions by business associates, such as; installation of a new computer software system
To carry out health care treatment, payment, and operations functions through business associates, such as to install a new computer system.

Note: Alcohol and drug abuse information has special privacy restrictions. AMDx, Ltd. / NDL will not disclose any information identifying an individual as being such a patient nor will any health information relating to a patient’s substance abuse treatment be provided, except where the patient provides written consent to do so, the disclose is necessary to carry out treatment, payment and operations, or where it may be required by law.

4. Your Authorization Is Required for Other Disclosures.

Except where otherwise described, use and/or disclose of your medical information will be not be released by AMDx, Ltd. / NDL. If you would like us to release your medical information to a party/parties not otherwise mentioned, your request must be provided in writing and will only be effective as of the date you indicate.

5. You Have Rights Regarding Your Health Information.

You have the following rights, when requested on the form(s) provided by AMDx, Ltd. / NDL:

Right to request restriction. You may request certain limitations on the usage or disclosure of your health information in relation to your health care, treatment, payment or operations. However, we are not required to comply with these types of requests.
Right to confidential communications. You may request that communication regarding your health information be provided in a certain way or at a location, other than the personal address you provided. When submitting such a request, you must also provide a written method of contact for yourself; i.e., alternate phone number or address.
Right to inspect and copy. You may review and request a copy of your medical or health record(s). For certain requests, an administrative fee to cover the cost of the request may be applied. Under limited circumstances, your request may be denied. You then have the right to request review of the denial by another licensed health care professional, as selected by AMDx, Ltd. / NDL. After the review is completed, AMDx, Ltd. / NDL will comply with the outcome.
Right to request amendment. You may request an amendment to your medical or health record(s), if you believe that information maintained by AMDx, Ltd. / NDL is incorrect or incomplete. However, we are not required to accept the amendment.
Right to accounting of disclosures. You may request the name(s) of persons or entities where a disclosure was released and was unrelated to your health care, treatment, payment or operations within in the previous six (6) years. Any request for information provided prior to April 14th 2003 is not applicable. AMDx, Ltd. / NDL may apply an administrative fee for any request received after the initial request.
Right to a copy of this Notice. You may request a paper copy of this notice at any time, even if you have been provided with an electronic copy. To obtain an electronic copy of this notice, please refer to our website, at: http://www.ndxlabs.com/.

6. What requirements apply to this notice?

AMDx, Ltd. / NDL is required by law to provide you with this notice and will continue to comply with the provisions outlined within, for as long as it is required by law. AMDx, Ltd. / NDL reserves the right to change the terms outlined within this notice and any such changes will be effective for all information that may be in our health records for you, as well as for all future information we receive for or by you. All revisions to this notice will be available on our website, at http://www.ndxlabs.com/. Revised paper copies will also be available, upon request. A copy of the notice may be provided to you, each time you register to receive services by AMDx, Ltd. / NDL.

7. What if I have a complaint regarding privacy practices?

If you believe your privacy rights have been violated, you may file a complaint with the AMDx/NDL Privacy Officer or with the Secretary of the United States Department of Health and Human Services. All complaints must be made in writing and must describe the situation giving rise to the complaint. We will not penalize or retaliate against you in any way for making a complaint to AMDx/NDL or to the Department of Health and Human Services.

Contact the AMDx/NDL Privacy Officer if:

You have any questions about this Notice;
You wish to request restrictions on uses and disclosures for health care treatment, payment, or operations; or
You wish to obtain a form to exercise your individual rights
described in paragraph 5.

AMDx, Ltd./NDL
ATTN: Privacy Officer
2423 W. Dunlap Ave | Suite 175
Phoenix, AZ 85021-5818
(P) 602.424.4450 | (F) 602.424.4451

NeuroDiagnostic Laboratories

Referral Assistance

If you need assistance with patient referrals, scheduling, or preparation instructions, our team is available to support physicians and their office staff.