Find Out if TMS is Right for You

This site is HIPAA compliant. Your information is secure and will not be shared or sold to any third parties. Your information is only being used to help determine if you are a candidate for deep TMS.

*Who is your primary insurance carrier?
*Have you failed four or more depression medications?
Have you been through counseling or psychotherapy?
Have you had a previously successful trial of TMS Therapy?
 
*Have you ever been diagnosed or treated for bipolar disorder, schizoaffective disorder or schizophrenia?

*Do you have a metal implant in or around the head (aneurysm coil or clip, metal plate, ocular implant, stent)?

*Do you have a seizure disorder/epilepsy?

*Do you have any of the following: cerebrovascular disease, dementia, history of repetitive or severe head trauma, increased intracranial pressure or primary or secondary tumors in the central nervous system?
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Over the past 2 weeks, how often have you been bothered by any of the following problems?
0 (Not at all), 1 (Several days), 2 (More than half the days), 3 (Nearly every day)
*Little interest or pleasure in doing things


*Feeling down, depressed or hopeless


*Trouble falling asleep, staying asleep, or sleeping too much


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0 (Not at all), 1 (Several days), 2 (More than half the days), 3 (Nearly every day)
*Feeling tired or having little energy


*Poor appetite or overeating


*Feeling bad about yourself - or that you're a failure or have let yourself or your family down


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0 (Not at all), 1 (Several days), 2 (More than half the days), 3 (Nearly every day)
*Moving or speaking so slowly that other people could have noticed. Or, the opposite - being so fidgety or restless that you have been moving around a lot more than usual.


*Moving or speaking so slowly that other people could have noticed. Or, the opposite - being so fidge


*Thoughts that you would be better off dead or of hurting yourself in some way


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Based on your answers, TMS may not be right for you. Get in touch with us today if you want to learn more.

This site is HIPAA compliant. Your information is secure and will not be shared or sold to any third parties. Your information is only being used to help determine if you are a candidate for deep TMS.

Based on your answers, TMS may be right for you! Fill out the rest of the form and we will contact you with more info. *Name*EmailPhone
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