INTAKE FORMS
At Bukhari Psychiatric Services, we wanted to make our new patient registration as easy as possible. We've converted our TMS registration form, as well as other common forms, into PDF files which allow you to download, print, and complete them at home.
Please reference the below buttons or quick links to download our forms. If you are unable to download our patient forms, then it is recommended that you arrive at your appointment 15 – 30 minutes early so you have ample time to complete the forms.
CHECK OUR PROVIDED PATIENT FORMS AVAILABLE FOR DOWNLOAD
Our staff looks forward to meeting you and discussing your goals. We strive to keep our appointments on time as scheduled. Prior to your appointment, we encourage you to fill out the patient forms that are located on this page so you can accelerate your check-in process. If for some reason you see an issue with one of the forms or need to speak with a specialist, please call us using our office number below.
TMS Exclusion Criteria
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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.
Medication Checklist
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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.
PHQ-9 And GAD-7
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You can use the PHQ-9 & GAD-7 to screen for depression and measure your level of symptom severity. Both the PHQ-9 and GAD-7 can be used for other disorders such as phobias and generalized anxiety disorder.
REFERENCE OUR MENTAL HEALTH SCREENING TOOLS
The following screening tools can assist you in determining the degree of your symptoms for a specific condition. Your personal information will not be recorded and your results will be shown on the screen immediately for your reference. These screening tools are not intended to identify or cure a certain illness.
If you are experiencing symptoms that appear to be affecting your general health, we recommend that you contact a healthcare professional for an evaluation. If you are experiencing a mental health crisis, have thoughts of suicide or self-harm, or thoughts of harming someone else, you should call 988, 911, or the National Crisis Hotline at 1-215-749-0162, or goto your nearest emergency room.
READY TO GET STARTED?
Bukhari Psychiatric Services is committed to supporting your mental health as well as our community. If you reside in or near Frisco, Prosper, Celina, Little Elm, Roland, Melissa, Krugerville, Aubrey, Cross Roads or the surrounding area, we'll assist you in regaining your mental well-being. Our TMS treatments are covered by most insurance plans, are FDA-approved, non-invasive, and free of drug side effects. Get the help you deserve.
