Pearl Health Clinic thanks you for your interest in TMS – Treatment for depressive symptoms. In order for our providers to determine whether you would be a good candidate for TMS Treatments, the following information needs to be completed FULLY. We will also need your previous records (indicating past mental health medications and most recent diagnosis) and attached to this questionnaire.
It may be necessary to contact previous providers and pharmacies to gather this information. Once all the information is gathered, please drop off this packet to Pearl Health Clinic. Our providers will then review the questionnaire and records. Our office will notify you of the decision. If you need any assistance with filling out this form.
Please contact Jenn Knutson, LPN at Pearl Health Clinic.