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Get the free Transcranial Magnetic Stimulation - rTMS Request Form

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Behavioral Health Utilization Management Transcranial Magnetic Stimulation RMS Request Form Please fully complete all sections. Once finished you may fax this form and supporting clinical documents
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01
Place the coil over the desired area of the brain
02
Adjust the intensity of the magnetic stimulation
03
Ensure the patient is comfortable and in a relaxed state
04
Administer the treatment according to the prescribed protocol
05
Monitor the patient for any adverse effects or discomfort

Who needs transcranial magnetic stimulation?

01
Individuals with treatment-resistant depression
02
Those suffering from chronic pain
03
Patients with certain neurological conditions such as Parkinson's disease or epilepsy
04
People undergoing rehabilitation following a stroke or brain injury
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Transcranial magnetic stimulation is a non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain.
Transcranial magnetic stimulation is typically administered by healthcare professionals such as neurologists, psychiatrists, or therapists.
Transcranial magnetic stimulation is performed using a magnetic coil placed near the head to deliver focused magnetic pulses.
The purpose of transcranial magnetic stimulation is to treat conditions such as depression, anxiety, and certain neurological disorders.
Information such as the patient's medical history, treatment plan, and any adverse reactions must be reported on transcranial magnetic stimulation.
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