TMS Therapy Screening

NeuroStar Screening

If you are human, leave this field blank.

First Name *

Last Name *

Email Address *

Phone

Best Time to Contact

Current Doctor (if applicable)

NeuroStar Therapy Screening Questions

Are you an adult patient with Major Depressive Disorder? *

Yes

Have you tried at least 4 medications without getting better? *

Yes

Did you experience side effects to any of the 4 medications? *

Yes

Have you previously had ECT or TMS with a 50% reduction in a depression score?? *

Yes

Have you tried an adequate course of therapy? *

Yes

Do you have a history of seizures, magnetic-sensitive metal in their head or any implanted devices? *

Yes

Do you have any specific questions about NeuroStar TMS Therapy?

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Looking for a helping hand?

Let the professionals at DBH guide you on your path of recovery.

Richmond Office

Main Office & TMS Center
2301 North Parham Rd, Suite 5
Richmond VA 23229
Phone: 804.270.1124
Fax: 804.270.2090

If you are interested in becoming a new patient at DBH, please complete and submit the new patient registration form (18 yrs +) or the child new patient registration form (>18 yrs) linked below.

Welcome! We’re glad you’re here.

Once the completed form is submitted, our new patient coordinator will contact you within 3-5 business days to review your submission and discuss how DBH may best serve you.

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