Patient Forms

PATIENT FORMS

Name: North Carolina Institute of Advanced NeuroHealth
Address: 1600 Olive Chapel Road, Suite 108-A, Apex, NC, 27502, US
Telephone: (800) 732-9822
Price range: $$

Download our eBook, review TMS exclusion criteria, review the medication checklist form, and take the PHQ-9 and GAD-7.

SCHEDULE A FREE CONSULTATION

SEE OUR PROVIDED PATIENT FORMS AVAILABLE FOR DOWNLOAD

At the North Carolina Institute of Advanced Neurohealth, we felt it was important to make our new patient enrollment as simple as possible. We also understand that being on time for your first appointment or consultation is essential, but it may also be stressful and time consuming to fill out all of the necessary information. We've converted our commonly used forms into PDF documents that you can download, print, and complete at home to make this process simpler. Please reference the below buttons or links to download our forms as needed.

FOR QUESTIONS PLEASE CALL US AT (800) 732-9822

DOWNLOAD OUR EBOOK

We've created an easy to read PDF ebook that you can download and read offline. Ready to explore TMS therapy and read more about how it can help fight depression and other mental heath issues? Click the button below to access our ebook download form.

EBOOK DOWNLOAD

TMS EXCLUSION CRITERIA

Please complete the following pdf form prior to the start of your TMS treatment. If you have selected any of the boxes under the Contraindicated Section, then TMS therapy is contraindicated, and therefore, would not be a viable treatment option for you.

EXCLUSION CRITERIA

MEDICATION CHECKLIST

The following pdf contains a list of common medications that are used to treat depression. If you have brought a medication list or had your records sent from your physician’s office, please fill out this form and bring those documents to your consultation.

CHECKLIST DOWNLOAD

PHQ-9 AND GAD-7

You can use the PHQ-9 and GAD-7 to screen for depression, as well as measure the level of symptom severity in people with depression. Both the PHQ-9 and GAD-7 can be used for other anxiety disorders such as phobias and generalized anxiety disorder.

PHQ-9 & GAD-7

ADDRESS

1600 Olive Chapel Road, Suite 108-A Apex, NC, 27502

HOURS OF OPERATIONS

Mon - Fri: 8am - 5pm | Sat - Sun: Closed

PHONE

(800) 732-9822

REFERENCE OUR MENTAL HEALTH SCREENING TOOLS

The below list of screenings may be used to assess the severity of your symptoms with a specific condition. None of your personal information will be collected and your results will be presented immediately on the screen for your convenience. Although helpful, these particular screening tools are not intended to diagnosis or treat a particular condition.

If you're having problems with your health that seem to be getting in the way of your quality of life, we recommend consulting with a medical professional. If you are experiencing a mental health crisis, thoughts of suicide or self-harm, or thoughts to harm someone else, you should call 911, the National Crisis Hotline at 1-800-273-8255, or go the nearest emergency room.

ANXIETY SCREENING (GAD-7) DEPRESSION, ANXIETY, STRESS SCALE DEPRESSION SCREENING (PHQ-9)

MAJOR DEPRESSION SCREENING POSTPARTUM DEPRESSION SCREENING PTSD SCREENING TOOL SOCIAL ANXIETY SCREENING

READY TO GET STARTED?

At the North Carolina Institute of Advanced NeuroHealth, we are deeply committed to your mental wellness. If you live in or near Apex, Cary, Holly Springs, Morrisville, Raleigh, Durham, or surrounding areas, our expert team is ready to help you regain control of your mental well-being.

We offer advanced neurotherapy services, including Transcranial Magnetic Stimulation (TMS) therapy and Ketamine treatment, both of which are FDA-approved, non-invasive, and free from drug side effects. These cutting-edge mental health treatments are covered by most insurance plans, making them accessible to individuals struggling with depression, anxiety disorders, obsessive-compulsive disorder (OCD), PTSD, and other conditions