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 no one enjoys filling out these types of forms, we ask that you please be as thorough as possible.

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.

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. 

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.

This form is used to authorize select health care or pharmacy providers to use or disclose, specific information to Sound Mind TMS Therapy for the purpose of receiving TMS therapy and to obtain prior-authorization for TMS treatment services.

The privacy of your health information is very important to us. We will maintain the privacy of your health information and will not disclose your information to others without your permission unless the law  requires us to do so.

Beck's Depression Inventory Form

OCD Assessment Downloadable Form

Ketamine Informed Consent

This form is used to authorize Sound Mind TMS to perform Ketamine treatment. As a patient, you are required to complete this form before treatment can begin. Have any questions? We can help.

Ketamine Registration Form

Our Ketamine Infusion Registration Form pdf allows us to document your medical history, informs if you have any allergies, and includes your goals and objectives for this treatment.