PATIENT FORMS
FOR YOUR CONVENIENCE WE HAVE PROVIDED MOST OF OUR NEW PATIENT AND TMS THERAPY FORMS BELOW.
You may print the forms and bring them with you when you visit or fax them to us at (315) 673-2434. We look forward to seeing you soon.
To schedule an appointment or a TMS therapy consultation please give us a call @ (315) 671-2140 or you may self-schedule by clicking the button below
TMS PATIENT REGISTRATION
Use this form if you have an appointment scheduled for a TMS therapy consultation.
MENTAL HEALTH SCREENING TOOLS
The below mental health tools are not intended to diagnose or indicate a mental health condition or disorder. If you feel that you have symptoms that may be related to a particular mental health-related condition, we encourage you to schedule an appointment for a complete evaluation.
If you are in a crisis situation or having thoughts of suicide or self-harm you should call 911, go to the nearest emergency room or call the National Suicide Prevention Lifeline 1-800-273-8255
ANXIETY ASSESSMENT TOOL
This tool helps to assess the severity of symptoms that may be associated with an anxiety disorder.
HAMILTON DEPRESSION TEST
This tool helps to assess the severity of symptoms that may be associated with an depression.

THE CNY PATIENT GUIDE TO TMS THERAPY
If you are suffering from a condition where medication has not been helpful or has not provided you satisfactory relief, download our free guide: "A Patients Guide to TMS Therapy". Discover how TMS may provide you relief from depression or MDD. We're a recognized TMS treatment center for CNY and have helped many patients with depression treatment.