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Patient Forms

Patient Forms

Paperwork is a drag, but we want to learn and know so much about you. We give you our word, after you complete these few forms, you can leave the rest to us.

  • Patient History Form
  • Patient Information Form
  • Benefits Investigation Access Form
  • Medication Check List
  • Patient Health Questionnaire (PHQ9)
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Download Questionnaire for Depression

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CONTACT INFO

Address:
Atlas TMS LLC
4600 Military Trail Suite 103
Jupiter, FL 33458

Phone: 561-855-4846
Fax: 561-249-7432

The NeuroStar Advanced Therapy System is indicated for the treatment of depressive episodes and for decreasing anxiety symptoms for those who may exhibit comorbid anxiety symptoms in adult patients suffering from Major Depressive Disorder (MDD) and who failed to achieve satisfactory improvement from previous antidepressant medication treatment in the current episode.

The NeuroStar Advanced Therapy system is intended to be used as an adjunct for the treatment of adult patients suffering from Obsessive-Compulsive Disorder (OCD).

NeuroStar Advanced Therapy is only available by prescription. A doctor can help decide if NeuroStar Advanced Therapy is right for you. Patients’ results may vary.

Visit neurostar.com for full safety and prescribing information.

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