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Please check the boxes to acknowledge that you understand the following:

I understand that in most cases insurance does not cover this therapy and treatment expenses are out-of-pocket.
I understand that I must be able to commute to Warwick, Rhode Island or Wellesley, Massachusetts for treatment, Monday through Friday, for two-week intervals.
If I am currently taking medications and/or receiving other therapies, I agree to continue with those therapies and medications when starting treatment with Brainwaves Neuro Restoration Center, Inc. I understand that if I decide to discontinue any therapies or medications, I must do so in conjunction with my primary care physician, psychologist, psychiatrist, and any other therapy service providers.
Our use of a transcranial magnetic stimulation device is being offered “off-label.” The medical device equipment we use is FDA-cleared for certain conditions but not all of the conditions that we treat. The off-label use of a medical device refers to using the device in a manner that is not approved or cleared by the FDA for that particular use.

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