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Over the last two weeks, how often have you been bothered by any of the following problems?

Please click the appropriate box to indicate your answer.

How Long Have You Been Struggling With Depression?

Do you currently have any of these treatment solutions?
TMS treatments are covered by health insurance. However, many patients don't have health insurance and many affordable payment plan options exist.
Are you interested in a payment plan option?
Who is your health insurance provider?
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Unfortunately TMS therapy is not covered by Medicaid.

Would you be interested in learning more about our affordable payment plans?

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Which one of our locations will best serve you?

When is the best day and time to reach you?

What is the best way to reach you?

Since the questionnaire relies on patient self-report, all responses should be verified by the clinician, and a definitive diagnosis is made on clinical grounds taking into account how well the patient understood the questionnaire, as well as other relevant information from the patient. Diagnoses of Major Depressive Disorder or Other Depressive Disorder also require impairment of social, occupational, or other important areas of functioning (Question #10) and ruling out normal bereavement, a history of a Manic Episode (Bipolar Disorder), and a physical disorder, medication, or other drug as the biological cause of the depressive symptoms.