Pioneer Health TMS

Safety Screening for Depression

Safety Screening for Depression

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TMS Safety Screening

Past history:

Cochlear implant
Epilepsy or Past seizures
Family history of seizures
Fainting/Syncopal episodes
Eye injuries
Head injuries or past neurosurgery
Chronic severe headaches
Implanted electrodes or neurostimulators eg. Deep brain stimulator, Vagus Nerve Stimulator
Pacemaker orIntra-cardiac lines
Implanted Cardioverter Defibrillator(ICD) or Wearable Cardioverter Defibrillator
Aneurysm clips/coils
Cerebral Spinal Fluid Shunt
Metallic devices or foreign bodies in the head or neck region (eg. Shrapnel or fragments from metal work/welding
Facial tattoos w/ metallic ink
Metallic devices implanted in head
Medication infusion device
Current pregnancy

Past treatments:

Previous TMS:
Previous ECT:

Past investigations:

Past EEGs:
Past MRIs:


Do you take any prescribed medication?
Have you had any recent changes to your medication?

Drug and Alcohol use:

Recreational drugs