CLICK HERE TO ACCESS OUR CONSULTATION REQUEST FORM. 

We request that you fill out this information ahead of time so that we may determine if your insurance will cover TMS.

 

This form will automatically come to our office through our HIPAA-secure portal when you submit the form at the bottom.

 

Alternatively, you can print the form out and fax the filled out form to our HIPPA-secure fax line at 212-243-1451.

If you need assistance with this process, please call our office at 212-647-9187.