What Condition(s) Are You Interested in Treating with TMS?*
Please select at least one condition.
How Many Antidepressants Have You Tried?
Have You Been Medically Treated for the Condition(s) You Wish to Treat?*
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Are You Currently Under the Care of a Psychiatrist or Mental Health Provider?*
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Please List Any Medications You Are Currently Taking for the Conditions You Wish to Treat:*
If none, just type N/A
Please list your medications or type N/A.
How Would You Like Us to Contact You?*
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