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Transcranial Magnetic Stimulation (TMS) Request Form Instructions: Please complete ALL sections and fax completed form to: (518) 2204659 Attention: Behavioral Health UM Submission of the TMS assessment
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How to fill out transcranial magnetic stimulation request

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How to fill out transcranial magnetic stimulation request

01
Begin by obtaining a referral from a licensed healthcare provider, such as a psychiatrist or neurologist.
02
Contact a facility that offers transcranial magnetic stimulation (TMS) and inquire about their specific request procedure.
03
Provide any necessary medical documentation and history to support the request.
04
Fill out any required forms or paperwork accurately and completely.
05
Schedule an appointment for a consultation and evaluation with the TMS provider.
06
Attend the scheduled appointment and discuss your symptoms and treatment goals with the provider.
07
Follow any additional instructions or requirements provided by the TMS provider.

Who needs transcranial magnetic stimulation request?

01
Individuals with treatment-resistant depression or other mental health conditions may benefit from a transcranial magnetic stimulation request.
02
Patients who have not responded well to traditional therapies such as medication or therapy may be candidates for TMS.
03
A healthcare provider may recommend TMS for patients who have not had success with other treatment options.
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Transcranial magnetic stimulation request is a non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain.
A healthcare provider or a psychiatrist is required to file a transcranial magnetic stimulation request.
To fill out a transcranial magnetic stimulation request, the healthcare provider must include patient information, medical history, and reasons for the procedure.
The purpose of a transcranial magnetic stimulation request is to treat depression and other mental health disorders.
The transcranial magnetic stimulation request must include patient demographics, medical history, current medications, and consent for the procedure.
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