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REQUEST FORM FOR REPETITIVE TRANSCRANIAL MAGNETIC STIMULATION Fax: 18775021044 Member Name:DOB:Gender:Date and Time of Request: Treating Clinician/Facility: If the treating clinician is not making
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Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive form of brain stimulation used to treat various neurological and psychiatric disorders.
Medical professionals who are trained and certified to administer rTMS are required to file the necessary documentation for each treatment.
To fill out rTMS documentation, medical professionals must record the specific details of each treatment session, including the stimulation parameters used and the patient's response.
The purpose of rTMS is to modulate neural activity in specific areas of the brain in order to alleviate symptoms of various neurological and psychiatric conditions.
Information such as the patient's medical history, treatment protocol, and any adverse effects experienced must be reported on rTMS documentation.
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