Working together giving patients hope

Greenbrook TMS NeuroHealth Centers accepts Medicare, all United Healthcare, all Blue Cross Blue Shield, and Multi-plan (which could include Cigna, Aetna, Kaiser, and many others). Other insurance providers may cover TMS Therapy on a case by case basis.

If you are requesting a Consultation for yourself or a loved one, please use this form.

Upon Referral, Your Patient Should Expect the Following:

Complimentary Consultation – Our office will contact your patient to schedule
Relevant medical history, including prior/current medications and psychotherapy will be discussed
Pre-Assessment conducted by one of our Medical Directors, psychiatrists with specialized training in TMS Therapy, to determine candidacy for treatment

About TMS Therapy

TMS Therapy is a treatment modality for those diagnosed with Major Depressive Disorder (MDD) who have failed to receive benefit from one prior anti-depressant medication at/or above the minimum effective dose and duration during their current episode. TMS Therapy can be used in conjunction with medication or as a stand-alone treatment. TMS Therapy applies targeted magnetic pulses to areas of the brain involved in mood regulation, areas that researchers have objectively identified on brain scan imaging to be underactive in people diagnosed with depression. Magnetic pulses activate neurons, thereby improving the brain’s ability to regulate mood. Over 300,000 TMS Therapy treatments have been safely performed on more than 12,000 patients throughout the United States.

Typical Course of Treatment

Although treatment varies by individual, a typical treatment course consists of:

Average of 20–30 treatment sessions
Conducted over a 4–6 week period
5 treatments per week
Each treatment session lasts approximately 30–40 minutes

Benefits

Non-Systemic – nothing enters the bloodstream
Non-Sedating – patient remains awake and alert during treatment and can resume usual routine, including driving
Non-Invasive – nothing is inserted or implanted into the body
Non-Drug – no drug related side effects such as weight gain, drowsiness, nausea, insomnia, gastrointestinal distress and decreased libido
FDA Cleared & Proven – 2 out of every 3 patients had a reduction in depression scores after a 4-week treatment period

Refer a Patient

Patient Name:

Gender

Patient Phone Number:

Patient Date of Birth:

Patient Zip Code: *

Contact Name (if someone other than the patient):

Contact Phone Number:

Relationship to Patient:

Primary Diagnosis:

Has the patient tried 4 or more anti-depressant medications?

Yes
No

Has or is the patient engaged in any psychotherapy?

Yes
No

Does the patient have any history of seizure?

Yes
No

Does the patient have any metallic implants above the neckline (not including dental implants)?

Yes
No

Additional Notes:

Referring Provider Name:

Referring Provider Phone Number:

Referring Provider Email Address:

Referring Provider Practice Location:

Referring Provider Speciality: