Please download, print and complete the appropriate New Patient Form: the Child New Patient Form if the patient is under 18, or the Adult New Patient Form if the patient is 18 or older. In addition, all patients must fill out the Consent for Treatment Form, Payment Information Form, Communication Policy Form and Release of Information Form. Please bring all completed forms with you to your initial appointment.
Choose the Child or Adult forms above, based on the patient’s age.
Fill out the New Patient, Consent, Payment and policy forms.
Bring all completed forms to your initial appointment.
Our team is happy to help at 203.769.1365.
Not a client yet? Schedule a free, no-obligation discovery call to find out if NeuroStar® TMS is right for you.
Dedicated to helping you feel like you again with FDA-cleared NeuroStar® TMS Therapy in a calm, private Cos Cob office.
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