Forms

Fill online forms to get started.

FORM 1: Appointment request

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FORM 2: New patient intake

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FORM 3: Credit Card authorization

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FORM 4: Release of medical information authorization

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FORM 5: FMLA request

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FORM 6: TMS patient information & PA

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FORM 7: TMS questionnaire

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FORM 8: Consent for TMS treatment

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FORM 9: PHQ9/MADRS

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FORM 10: Spravato screening

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FORM 11: Prior authorization request

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FORM 12: Request to resend script to new pharmacy

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