At SW Florida TMS & Ketamine, we understand that starting a new treatment program can be overwhelming. That's why our patient onboarding process is designed to be seamless and stress-free. We've made out forms available online so you can download them and complete them at home. We're here to make your journey towards mental wellness as smooth as possible. Please give us a call if you have any questions.
Ready to start your mental health journey? At SW Florida TMS & Ketamine, we make it easy for you to get started. Simply download our patient forms below using the desired button. This includes our new TMS patient registration form, current medication checklist, consent to release form, HIPAA notice, and more. Let's take the first step together. We look forward to supporting you!
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Our TMS Registration Form pdf is based on the same information that will be required on your insurance’s prior authorization form. While we understand the form can be tedious to complete, it's important in order to receive TMS treatment.
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Please complete the following pdf form prior to the start of your TMS treatment. If you have selected any of the boxes under the Contraindicated Section, then TMS therapy is contraindicated, and therefore, would not be a viable treatment option for you.
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The following pdf contains a list of common medications that are used to treat depression. If you have brought a medication list or had your records sent from your physician’s office, please fill out this form and bring those documents to your consultation.
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You can use the PHQ-9 and GAD-7 to screen for depression, as well as measure the level of symptom severity in people with depression. Both the PHQ-9 and GAD-7 can be used for other anxiety disorders such as phobias and generalized anxiety disorder.
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This Consent to Release Form allows us to disclose information related to your treatment, psychiatric history, or current medications only to specific resources that you specify.
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We will maintain the privacy of your health information and will not disclose your information to others without your permission, or unless the law requires us to do so.
Don't let anxiety or depression hold you back! Take the PHQ-9 or GAD-7 assessments at SW Florida TMS & Ketamine clinic. They look like short quizzes but there is no wrong answer. The best part, your results are completely anonymous. Let's get you on the path to a brighter future!
The TMS and Ketamine Clinic of Southwest Florida is deeply committed to your mental well-being. Whether you're a Fort Myers resident or commuting from the surrounding area, our experienced psychiatrist and trained mental health professionals are here to guide you toward a life of clarity and purpose. Many of our FDA-cleared mental health treatments, including TMS therapy, Ketamine infusion therapy, and SPRAVATO® esketamine treatment, are non-invasive and covered by insurance, ensuring accessible depression and anxiety treatment for those in need.
CareCredit is a health and wellness credit card that provides flexible financing options, allowing you to pay over time for the care you desire or require. Accepted at more than 260,000 locations, we are delighted to provide CareCredit to individuals in need of financial support for their TMS or Ketamine treatment. If you have any questions, please reach out to one of our team members for additional details. Also, you can easily scan the QR code displayed here to prequalify or conveniently pay your bill online.
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