Improve your overall wellbeing by starting
Deep TMS treatments today!

Submit our Screening Form below, or complete it over the phone with one of our staff members.
Once our Psychiatrist reviews your information, we will call to schedule a TMS Evaluation.

Name(Required)
Are you currently seeing a Mental Health Therapist?(Required)
Do you currently see a Psychiatrist?(Required)
Have you previously tried antidepressants?(Required)
Pregnant or Nursing(Required)
History of Seizures(Required)
TBI/Brain Injury or Damage(Required)
Frequent Headaches or Migraines(Required)
Aneurysm Clips or Coils(Required)
Stents(Required)
Deep Brain Stimulator(Required)
Electrodes (Brain Activity Monitor)(Required)
Implants in Eyes or Ears(Required)
Shrapnel or Bullet Fragmentsep Brain Stimulator(Required)
Facial Tattoos or Permanent Makeup(Required)
Cochlear Implants(Required)
Vagal Nerve Stimulator(Required)
Magnetic Implants or Other Devices(Required)
Pacemaker(Required)
Do you have a history of substance abuse?(Required)
Do you have a history of suicidal ideation (current episode)?(Required)
Do you have a history of Psychosis or Psychotic Symptoms?(Required)
Do you have a history of Obsessive-Compulsive Disorder (OCD)?(Required)
Have you ever been in individual or group therapy?(Required)
Have you ever had Transcranial Magnetic Stimulation (TMS)(Required)
Have you ever had Electroconvulsive Therapy (ECT)(Required)
Any history of suicide attempts?(Required)
Have you ever been hospitalized for a psychiatric illness?(Required)
Have you ever been in an intensive outpatient program?(Required)
This field is for validation purposes and should be left unchanged.