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What patients can expect during their rTMS Treatment Process

Pre-treatment Consultation
First Day of Treatment
Duration
Communication
Last Day of Treatment
Follow-up
Maintenance
Costs of Service

Please print this form, fill it out and bring it with you to your scheduled appointment.

Pre-treatment Consultation

If you are considering rTMS therapy, a pre-treatment consultation will take place. Once you decide to proceed with rTMS therapy a consultation will occur with an Texas First TMS and Neurotherapy psychiatrist who screens for contraindications to rTMS therapy as well as discuss your medical and psychiatric history and medications. The initial consultation acts to ensure that you are a suitable candidate for rTMS therapy. Any of your remaining questions or concerns can be raised at this time. An intake consultation with
Texas First TMS and Neurotherapy staff is intended to answer your questions about rTMS, our services and our procedures.

Costs of Services will help explain payment policies and staff is also available in order to help explain payment requirements.
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First Day of Treatment

Treatment is administered by a trained technician and overseen by a medical doctor. The technician will familiarize you with the equipment and treatment procedure prior to commencing the first session. Staff working at
Texas First TMS and Neurotherapy have been educated and trained regarding the use of rTMS therapy using the NeuroStar TMS therapy system.

During treatment, patients are fully conscious and able to read or converse with the technician.

rTMS is an outpatient procedure, which means that no hospitalization is required.

The rTMS therapy procedure itself is painless, non-invasive, and requires no anesthesia.

The magnetic stimulation is delivered using the NeuroStar TMS therapy system which assures the TMS treatment is directed appropriately to the brain.

The intensity of the stimulus that will be delivered is determined by inducing a motor-evoked potential (i.e. causing movement or a twitch to occur) in the abductor pollicis brevis, or thumb muscle. You may feel a tingling or tapping sensation on the head, and scalp muscles may feel a little tense, during and a bit after the procedure. This is normal and may result in a minor headache.

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Duration

The rTMS treatment protocol consists of 10 to 30 sessions.  Sessions are usually Monday through Friday over 2 to six weeks, excluding weekends and holidays

Each treatment session is approximately 40 minutes. 
Texas First TMS and Neurotherapy goal is for a patient to be able to drive to the office locally, receive treatment and drive back home or to work in approximately two to three hours or at most a half day of work.

In some cases, extra sessions may be recommended for late responders.  Response will be assessed with you individually by trained staff members.

In some cases, 5-10 extra sessions are recommended for late responders. This need will be assessed with you individually by a trained medical staff member.


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Communication

You are encouraged to freely discuss any concerns and feelings that you are experiencing, and to ask questions as they arise.

Texas First TMS and Neurotherapy staff members appreciate learning how we can help make your treatment experience as comfortable as possible.

Feedback on your treatment progress will be provided throughout the course of therapy.

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Last Day of Treatment

Treatment response is determined based on clinical assessment scale and verbal feedback from patients.

At the end of treatment, you will be provided with a Patient Report. This report provides a detailed summary of the treatment received, Depression/ Anxiety assessment scores, and results to date.

A detailed Physician Report will be sent via fax/mail/courier to your referring physician, providing a detailed update on your progress.

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Follow-up

Our team cares about ongoing patient progress following treatment. It is our priority to keep in contact with patients and encourage them to do the same.

  • Regular follow-ups via telecom and/or email are encouraged.
  • Please expect to hear from us following the final treatment.
  • Calls to staff members with questions or concerns are strongly encouraged.
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Maintenance

Maintenance Therapy will vary from patient to patient and is assessed on an individual basis. A trained medical staff member will discuss this possibility with you following Acute Therapy.

You will be encouraged to call
Texas First TMS and Neurotherapy staff immediately if you sense depressive symptoms returning.

Please consult your family doctor or psychiatrist following rTMS therapy, in order to facilitate continued care after the treatment.

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Costs of Service

Texas First TMS and Neurotherapy believes in providing quality patient care, and affordability for our patients is important. Although there has been significant research on the use of rTMS and the NueroStar TMS therapy system is FDA approved, this is a new treatment in the medical community. As with most relatively new treatments and therapies, rTMS is not covered under government insured services and only limited private insurance.

* Cost is determined based upon your treatment schedule.  4-6 weeks of treatment is typically needed for  maximum benefit.  Financing options are available, including spilt-payments, prompt-pay discounts, and outside medical patient financing plans.  Please call AMS to schedule a consultation.

* Neurostar provides a patient's insurance advocacy service. Texas First TMS and Neurotherapy will facilitate contact with this service.

* We will make use of NeuroStar’s billing assistance program in order to help file with your insurance and advocate with you for this effective and FDA approved treatment of Major Depression where appropriate.

* Financing Alternatives

My Medical Loan
Clark behavioral health financing

The future of Insurance Coverage:

As awareness of rTMS among medical providers and medical researchers' increases,
Texas First TMS and Neurotherapy is confident that insurance providers and EAP providers will see this as a cost effective way of helping to treat depression.

For our refund and cancellation policy please contact the Texas First TMS and Neurotherapy staff
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TMS Therapy Depression Treatment Alternative

 Transcranial Magnetic Stimulation (TMS) Therapy involves the use of MRI-strength magnetic fields to stimulate nerve cells in the brain.  First used in 1985, TMS has been utilized by researchers around the world to help understand the function of parts of the brain.

TMS Device

The short pulses of magnetic energy produced by a TMS device are aimed by the treating clinician at the structures in the brain involved in mood regulation.

NeuroStar

The NeuroStar TMS Therapy system is the first and only TMS Therapy® device cleared by the FDA for the treatment of depression. TMS Therapy is a non-systemic (does not circulate in the bloodstream throughout the body) and non-invasive (does not involve surgery) form of neuromodulation which stimulates nerve cells in an area of the brain that is linked to depression, by delivering highly-focused MRI-strength magnetic pulses.

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