AUTISM QUESTIONNAIRE
BrainStim uses this form to gather information and aid in the treatment and monitoring of progress.
Please download this form before your visit to BrainStim Centers. You can send it to us via email at info@brainstimcenters.com or bring it to your appointment.
AUTISM ASSESSMENT FORM
BrainStim uses this form to gather information and aid in the treatment and monitoring of progress.
Please download this form before your visit to BrainStim Centers.
For your privacy, please email us at infor@brainstimcenters.com or bring it to your appointment.
PATIENT HEALTH QUESTIONNAIRE FOR DEPRESSION (PHQ-9)
BrainStim Centers use the PHQ-9 form as a screening tool, an aid in the diagnosis of your current mental state, and as a symptom tracking tool that helps us evaluate your depression severity during the course of treatment.
Please download this form before your visit to BrainStim Centers. You can send it to us via email at info@brainstimcenters.com or bring it to your appointment.
GENERAL ANXIETY DISORDER- 7 (GAD-7)
BrainStim Centers use the Generalised Anxiety Disorder Assessment (GAD-7) which is a seven-item instrument used to measure or assess the severity of generalized anxiety disorder (GAD). Each item asks the individual to rate the severity of his or her symptoms over the past two weeks.
Please download this form before your visit to BrainStim Centers.
For your privacy, we recommend you send us this form by email at info@brainstimcenters.com or bring it to your first appointment.
PAIN SCALE FORM
BrainStim Centers use this form as an assessment of a patient’s pain level.
Please download this form before your visit to BrainStim Centers.
For your privacy, please email us at infor@brainstimcenters.com or bring it to your appointment.
HAMILTON ANXIETY SCALE FORM
BrainStim Centers use the Hamilton Anxiety Rating Scale form to analyze the severity of a patient’s anxiety. The scale is intended for adults, adolescents, and children,
Please download this form before your visit to BrainStim Centers.
For your privacy, please email it to us at info@brainstimcenters.com or bring it to your first appointment.
MONTGOMERY-ASBERG DEPRESSION RATING SCALE (MADRS) Form
BrainStim Centers use the Montgomery Asberg Depression Rating Scale (MADRS) to assess the severity of depression among patients with a diagnosis of depression.
Please download this form before your visit to BrainStim Centers and email us at info@brainstimcenters.com or bring it to your first appointment.
