Self Assessment

Find out if ReNu Deep TMS is right for you. Fill out our self assessment below and we’ll be in touch.

First Name *

Last Name *

Email *

Phone *

How do you prefer to hear from us? *

Have you ever been diagnosed with major depression? *

Have you ever been diagnosed or treated for bipolar disorder? *

Have you ever been diagnosed or treated for schizoaffective disorder or schizophrenia? *

Do you have a metal implant in or around the head? *

Do you have a defibrillator or pacemaker implanted? *

Do you have a seizure disorder/epilepsy? *

Have you been through at least 6 weeks of counseling or psychotherapy? *

Will you be going through insurance? (Medicaid is not accepted) *

Are you interested in a discussion regarding cash payments for TMS Services? *

Have you had a previously successful trial of TMS Therapy? *

Name