PATIENT FORMS

Accentus Health TMS

SCHEDULE A FREE CONSULTATION

REVIEW OUR PROVIDED PATIENT FORMS AVAILABLE FOR DOWNLOAD


At Accentus Health TMS, we know that arriving early for your first visit or consultation is important but it can also be a bit tiring or stressful filling out all of the necessary information. To make this process easier on you, we've converted some of our common forms, into PDF files which allow you to download, print, and complete them at home. Please reference the below buttons or quick links to download our forms.

For questions please call us at (317) 721-4169

The insurance providers we currently accept in-network are: 

tms therapy ebook indianapolis

DOWNLOAD OUR EBOOK

Accentus Health TMS created and ebook that goes into more detail in regard to how and why TMS therapy may be the perfect solution to improve your mental wellness. Simply click the button below to download our TMS therapy ebook and contact us for a consultation.

EBOOK DOWNLOAD
tms therapy exclusion criteria Indianapolis

TMS EXCLUSION CRITERIA

Please fill out the following form before your TMS treatment begins. If you checked any of the boxes under the Contrained Section, TMS therapy is contraindicated and would not be a viable option for you.

EXCLUSION CRITERIA
tms therapy medication checklist Indianapolis

MEDICATION CHECKLIST

The following pdf contains a list of typical antidepressants that may be taken. If you have brought a medication list or had your records sent to you from your doctor's office, please fill out this form and bring it with you to your appointment.

CHECKLIST DOWNLOAD
phq-9 icon for tms therapy testing indianapolis

PHQ-9 AND GAD-7

You may screen for depression using the PHQ-9 and GAD-7, as well as assess symptom severity in individuals who suffer from depression. The PHQ-9 and GAD-7 are effective in different anxiety disorders including phobias and generalized anxiety disorder.

PHQ-9 & GAD-7

OUR CONTACT INFORMATION

address icon Indianapolis tms therapy

ADDRESS

5128 East Stop 11 Rd, Suite 34
Indianapolis, Indiana, 46237
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HOURS OF OPERATION

MON - FRI: 8AM - 5PM
SAT - SUN: CLOSED

REFERENCE OUR MENTAL HEALTH SCREENING TOOLS

The below screening tests can help you assess the severity of your symptoms due to a particular illness. Your personal information will not be gathered, and your results will be presented immediately on the screen for your convenience. The screening tools are not meant to diagnose or treat any disease.

We strongly advise you to contact a healthcare practitioner if you are having symptoms that appear to be affecting your general health. If you are experiencing a mental health crisis, have thoughts of suicide or self-harm, or thoughts of harming someone else, you should call 911, the National Crisis Hotline at 1-215-749-0162, or goto your nearest emergency room.

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