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Location
804-270-1124
Richmond, Virginia
Outpatient Mental Health Treatment, Counseling & Therapy
Home
Services
OUTPATIENT SERVICES
TMS THERAPY
SPRAVATO® TREATMENT FOR DEPRESSION
DBH Providers
Registration
ADULT INTAKE FORM
CHILD INTAKE FORM
TMS THERAPY SCREENING
Groups
RESOURCES
ONLINE BILL PAYMENT
OFFICE FAQs
DBH BLOG
PRIVACY POLICY
Careers
Location
TMS Therapy Screening
NeuroStar Screening
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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
No
Have you tried at least 4 medications without getting better?
*
Yes
No
Did you experience side effects to any of the 4 medications?
*
Yes
No
Have you previously had ECT or TMS with a 50% reduction in a depression score??
*
Yes
No
Have you tried an adequate course of therapy?
*
Yes
No
Do you have a history of seizures, magnetic-sensitive metal in their head or any implanted devices?
*
Yes
No
Do you have any specific questions about NeuroStar TMS Therapy?
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