Refer a Patient

Could Your Patient Benefit from a Different Treatment Path?

We foster collaborative care with our referring provider partners, and we are committed to ensuring your patient remains your patient.

Is your patient experiencing Treatment-Resistant Depression?

Transcranial Magnetic Stimulation (TMS) Therapy is the New Standard of Care for Treatment-Resistant Depression.

Dallas Neurocare Therapy offers a unique opportunity for your patients to learn more about TMS Therapy and how it can be life-changing for those suffering from depression.

When you refer a patient, they can easily schedule a Free TMS Therapy Screening.

During this complimentary appointment, your patient will meet with a highly experienced certified TMS Therapy technician that will answer all questions and review their specific situation to see if they are a potential candidate for TMS Therapy.

Accepted Insurance

Private insurance is widely reimburse TMS Therapy.

During your patient’s consultation, we will discuss insurance coverage, costs, payments and reimbursement. Our experienced patient consultants will work with your patient’s insurance company to determine their benefits coverage.

We do all the heavy lifting for your patient on the reimbursement front once we have the necessary medical records.

Dallas Neurocare Therapy accepts:

We will work with other insurance carriers regarding out-of-network benefits.

If your patient’s carrier is not listed here, the cost of therapy may be recoverable from various sources including Private Insurers, Flexible Spending Accounts and Patient Financing Loans.

Have questions? Contact us.

Refer a Patient Form (1)

"*" indicates required fields

Referral for (check all that apply):*

Transcranial Magnetic Stimulation (TMS) Therapy for Major Depressive Disorder (MDD), or Anxious Depression, or Obsessive Compulsive Disorder (OCD)

Psychiatric Evaluation & Medication Management for Mood Disorders

SPRAVATO® (esketamine)

Dallas Neurocare Therapy

Phone: (972) 317-2082

Referring Provider Details:

Date*

Healthcare Provider Name:*

First Last

Phone*

Fax*

Email*

I would like to refer:

Please add referring patient's contact information.

Referring Patient's Name*

First Last

Home Phone

Cell Phone

Which phone number is preferred for the referring patient?*

Select the preferred phone number.

Home Phone

Cell Phone

Please select all that apply regarding contacting the referring patient:*

Patient is expecting our call?

OK to leave a message?

OK to send SMS text message?

Please provide patient's diagnosis information:*

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