Please contact me

Thank you for seeking information about Montana Psychiatry and Brain Health. We strive to help each individual reach remission of symptoms with Ketamine and TMS therapy.

We realize that medical providers for psychiatric care in our community have less than are needed. As we strive to provide immediate care, we would ask that you complete the below contact form and the required information.

Our hope is that we can help resolve your depression, anxiety, and pain through advanced treatment alternatives of TMS therapy and Ketamine.

We look forward to getting to know you or someone you care about.

Name*

Email*

example@example.com

Phone Number*

Area CodePhone Number

Which best describes your health care coverage?*

I do not have health care insuranceMEDICARE is my health care insurerI have commercial health insurance (examples Aetna, Blue Cross / Blue Shield, Cigna, United Health Care etc.)TricareMedicaid

Which of the following, if any have you been diagnosed to have?*

Clinical Depression, Major Depressive Disorder, MDDBipolar DisorderGeneralized Anxiety DisorderPTSD - Post Traumatic Stress DisorderOCD - Obsessive Compulsive DisorderSchizophrenia or Psychosis of some formI do not know / Other

How severe are your symptoms?

	1	2	3	4	5	6	7	8	9	10

1 is No Symptoms, 10 is Very Severe Symptoms

Within the last TWO - Years, how many medications for your mental health concern have you taken?

I have not tried any medications1 or 23 or 4More than 4

Please check which is most true. I desire for help

Medication management onlyAdvanced treatment options to improve wellness

Please check ALL that applies then click the submit button.

I do not understand TMS therapy or Ketamine treatmentsI have some knowledge of TMS therapy or Ketamine treatmentsI have strong knowledge of TMS therapy or Ketamine treatments

Please click the Submit button below so we may

get back to you in a timely manner.