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Brainstim Centers TMS & MeRT, Encino & Valencia CA

Depression, PTSD, Concussion and Autism Treatment using MeRT and TMS

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Assessment Forms

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.

Click Here to Download

 

 

PEDIATRIC QUALITY OF LIFE 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.

For your privacy, please email us at infor@brainstimcenters.com or bring it to your appointment.

Click Here to Download

 

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.

Click Here to Download

 

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.

Click Here to Download

 

PAIN ASSESSMENT 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.

Click Here to Download

 

HAMILTION 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 eail it to us at info@brainstimcenters.com or bring it to your first appointment.

Click Here to Download

 

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.

Click Here to Download

Optimal Brain Function is Our Mission

Call Us For More Information

Our New Patient Coordinator is happy to talk with you, explain the our treatment protocols and fees and answer any questions you may have.

Contact our New Patient Coordinator for a Free Consultation

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Phone and Hours

New Patients:

(310) 895-7122

Fax: (818) 475-1433

Email us: info@brainstimcenters.com

Hours:
Monday to Friday 9AM to 5PM


Holiday hours: We are closed:
Christmas Eve and New Year’s Eve.

Our Locations

Encino Location:
16260 Ventura Blvd, Suite 700,
Encino, CA 91436

Valencia Location
28212 Kelly Johnson Pkwy, Suite 215,
Valencia, CA 91355

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BrainStim Centers, Inc
BrainStim Centers, Inc
5.0
Based on 1 reviews
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Ready to review?
JakobJakob
03:04 01 Jul 21
I have been struggling with insomnia for the past 6 years. Most doctors have just prescribed me medications with horrible side effects. I then found Brainstim Centers. I received 36 treatments and I could not have imagined such improvement in my sleep. I went from averaging 4 hours of sleep a night to 8 hours a night after the treatment. The staff were very friendly and accommodating. Special shout-out to Christy and Alex.
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