{"id":497,"date":"2020-10-30T05:42:51","date_gmt":"2020-10-30T05:42:51","guid":{"rendered":"https:\/\/strivetmscenter.com\/?page_id=497"},"modified":"2021-02-05T21:43:31","modified_gmt":"2021-02-05T21:43:31","slug":"new-patient-forms","status":"publish","type":"page","link":"https:\/\/strivetmscenter.com\/resources\/new-patient-forms\/","title":{"rendered":"New Patient Forms"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"497\" class=\"elementor elementor-497\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-f186a7a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f186a7a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-a9323a4\" data-id=\"a9323a4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5b7a9f8 elementor-widget elementor-widget-heading\" data-id=\"5b7a9f8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">First Visit?<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4c32048 elementor-widget elementor-widget-text-editor\" data-id=\"4c32048\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\">\n\t\t\t\t<p style=\"text-align: left;\">First time visiting? Be sure to fill out the forms below. You can fax them over to 216-752-9080, print &amp; scan, or bring them in on your first visit.<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5ab5ed8\" data-id=\"5ab5ed8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1110009 elementor-widget elementor-widget-text-editor\" data-id=\"1110009\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\">\n\t\t\t\t<p><a href=\"https:\/\/strivetmscenter.com\/resources\/new-patient-forms\/#selfpay\">I plan to self-pay<\/a><\/p><p><a href=\"https:\/\/strivetmscenter.com\/resources\/new-patient-forms\/#tricare\">I plan to use Tricare<\/a><\/p><p><a href=\"https:\/\/strivetmscenter.com\/resources\/new-patient-forms\/#medi\">I plan to use Medicare, Medicaid, or Commercial insurance<\/a><\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-89eae63 elementor-widget elementor-widget-menu-anchor\" data-id=\"89eae63\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"selfpay\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-06475a9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"06475a9\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-50b86a8\" data-id=\"50b86a8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-098fa0b elementor-widget elementor-widget-heading\" data-id=\"098fa0b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Self-Pay<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-inner-section elementor-element elementor-element-3265bf8 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3265bf8\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-287b231\" data-id=\"287b231\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d8aaacb elementor-widget elementor-widget-image\" data-id=\"d8aaacb\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/Strive-TMS-Informed-Consent-Part-1.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img width=\"244\" height=\"300\" src=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png\" class=\"attachment-medium size-medium\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png 244w, https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon.png 260w\" sizes=\"(max-width: 244px) 100vw, 244px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-18298b1 elementor-widget elementor-widget-heading\" data-id=\"18298b1\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/Strive-TMS-Informed-Consent-Part-1.pdf\" target=\"_blank\">Informed Consent Form - Part 1<\/a><\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-ec97b42\" data-id=\"ec97b42\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-51a8160 elementor-widget elementor-widget-image\" data-id=\"51a8160\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/Strive-TMS-Informed-Consent-Part-2-Screening-Questionnaire.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img width=\"244\" height=\"300\" src=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png\" class=\"attachment-medium size-medium\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png 244w, https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon.png 260w\" sizes=\"(max-width: 244px) 100vw, 244px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-169a3ce elementor-widget elementor-widget-heading\" data-id=\"169a3ce\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/Strive-TMS-Informed-Consent-Part-2-Screening-Questionnaire.pdf\" target=\"_blank\">Informed Consent Form - Part 2 - Screening Questionnaire<\/a><\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-072d060\" data-id=\"072d060\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c96105d elementor-widget elementor-widget-image\" data-id=\"c96105d\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PHQ-9-Patient-health-Questionnaire.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img width=\"244\" height=\"300\" src=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png\" class=\"attachment-medium size-medium\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png 244w, https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon.png 260w\" sizes=\"(max-width: 244px) 100vw, 244px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b65b723 elementor-widget elementor-widget-heading\" data-id=\"b65b723\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PHQ-9-Patient-health-Questionnaire.pdf\" target=\"_blank\">Patient Health Questionnaire<\/a><\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-6d1fe2e\" data-id=\"6d1fe2e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-63c5cc3 elementor-widget elementor-widget-image\" data-id=\"63c5cc3\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/TMS-Billing-and-Payment-Agreement.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img width=\"244\" height=\"300\" src=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png\" class=\"attachment-medium size-medium\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png 244w, https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon.png 260w\" sizes=\"(max-width: 244px) 100vw, 244px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e17638 elementor-widget elementor-widget-heading\" data-id=\"7e17638\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/TMS-Billing-and-Payment-Agreement.pdf\" target=\"_blank\">Billing and Payment Agreement<\/a><\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-6ccfd6c elementor-widget elementor-widget-menu-anchor\" data-id=\"6ccfd6c\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"tricare\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-b1fe985 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b1fe985\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-888353e\" data-id=\"888353e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0a99886 elementor-widget elementor-widget-heading\" data-id=\"0a99886\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Tricare<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-inner-section elementor-element elementor-element-b348026 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b348026\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-0433a17\" data-id=\"0433a17\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-eaaf4ab elementor-widget elementor-widget-image\" data-id=\"eaaf4ab\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/Strive-TMS-Informed-Consent-Part-1.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img width=\"244\" height=\"300\" src=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png\" class=\"attachment-medium size-medium\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png 244w, https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon.png 260w\" sizes=\"(max-width: 244px) 100vw, 244px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1ad21c7 elementor-widget elementor-widget-heading\" data-id=\"1ad21c7\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/Strive-TMS-Informed-Consent-Part-1.pdf\" target=\"_blank\">Informed Consent Form - Part 1<\/a><\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-2adc3b4\" data-id=\"2adc3b4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ee8473b elementor-widget elementor-widget-image\" data-id=\"ee8473b\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/Strive-TMS-Informed-Consent-Part-2-Screening-Questionnaire.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img width=\"244\" height=\"300\" src=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png\" class=\"attachment-medium size-medium\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png 244w, https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon.png 260w\" sizes=\"(max-width: 244px) 100vw, 244px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a11dc0c elementor-widget elementor-widget-heading\" data-id=\"a11dc0c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/Strive-TMS-Informed-Consent-Part-2-Screening-Questionnaire.pdf\" target=\"_blank\">Informed Consent Form - Part 2 - Screening Questionnaire<\/a><\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-3aa72ee\" data-id=\"3aa72ee\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c1b62ab elementor-widget elementor-widget-image\" data-id=\"c1b62ab\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PHQ-9-Patient-health-Questionnaire.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img width=\"244\" height=\"300\" src=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png\" class=\"attachment-medium size-medium\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png 244w, https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon.png 260w\" sizes=\"(max-width: 244px) 100vw, 244px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ea95f62 elementor-widget elementor-widget-heading\" data-id=\"ea95f62\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PHQ-9-Patient-health-Questionnaire.pdf\" target=\"_blank\">Patient Health Questionnaire<\/a><\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-1c53be6\" data-id=\"1c53be6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-400ac4c elementor-widget elementor-widget-menu-anchor\" data-id=\"400ac4c\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"medi\" class=\"elementor-menu-anchor\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-2c3a175 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2c3a175\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bd29450\" data-id=\"bd29450\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9ba2701 elementor-widget elementor-widget-heading\" data-id=\"9ba2701\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Medicare, Medicaid, or Commercial<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-inner-section elementor-element elementor-element-c14001c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c14001c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-d2cef71\" data-id=\"d2cef71\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-693026f elementor-widget elementor-widget-image\" data-id=\"693026f\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2021\/02\/1.-Adult-TMS-Registration.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img width=\"244\" height=\"300\" src=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png\" class=\"attachment-medium size-medium\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png 244w, https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon.png 260w\" sizes=\"(max-width: 244px) 100vw, 244px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f8353a8 elementor-widget elementor-widget-heading\" data-id=\"f8353a8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2021\/02\/1.-Adult-TMS-Registration.pdf\" target=\"_blank\">Adult TMS Registration<\/a><\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-3887af5\" data-id=\"3887af5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0028ad8 elementor-widget elementor-widget-image\" data-id=\"0028ad8\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2021\/02\/2.-TMS-Therapy-Exclusion-Criteria.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img width=\"244\" height=\"300\" src=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png\" class=\"attachment-medium size-medium\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png 244w, https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon.png 260w\" sizes=\"(max-width: 244px) 100vw, 244px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-db3909c elementor-widget elementor-widget-heading\" data-id=\"db3909c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2021\/02\/2.-TMS-Therapy-Exclusion-Criteria.pdf\" target=\"_blank\">TMS Therapy Exclusion Criteria<\/a><\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-1d0c998\" data-id=\"1d0c998\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bb6872f elementor-widget elementor-widget-image\" data-id=\"bb6872f\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2021\/02\/3.-Medication-Checklist.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img width=\"244\" height=\"300\" src=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png\" class=\"attachment-medium size-medium\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png 244w, https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon.png 260w\" sizes=\"(max-width: 244px) 100vw, 244px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-10327d6 elementor-widget elementor-widget-heading\" data-id=\"10327d6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2021\/02\/3.-Medication-Checklist.pdf\" target=\"_blank\">Medication Checklist<\/a><\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-d1b49ef\" data-id=\"d1b49ef\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-43cddf8 elementor-widget elementor-widget-image\" data-id=\"43cddf8\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2021\/02\/5.-Consent-to-Release-Information.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img width=\"244\" height=\"300\" src=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png\" class=\"attachment-medium size-medium\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png 244w, https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon.png 260w\" sizes=\"(max-width: 244px) 100vw, 244px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-38ed846 elementor-widget elementor-widget-heading\" data-id=\"38ed846\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2021\/02\/5.-Consent-to-Release-Information.pdf\" target=\"_blank\">Consent to Release Information<\/a><\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-inner-section elementor-element elementor-element-430e19b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"430e19b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-5b7375b\" data-id=\"5b7375b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0876742 elementor-widget elementor-widget-image\" data-id=\"0876742\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2021\/02\/6.-TMS_Patient_Consent.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img width=\"244\" height=\"300\" src=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png\" class=\"attachment-medium size-medium\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png 244w, https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon.png 260w\" sizes=\"(max-width: 244px) 100vw, 244px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c4a79f2 elementor-widget elementor-widget-heading\" data-id=\"c4a79f2\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2021\/02\/6.-TMS_Patient_Consent.pdf\" target=\"_blank\">TMS Patient Consent<\/a><\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-d844482\" data-id=\"d844482\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2944f26 elementor-widget elementor-widget-image\" data-id=\"2944f26\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2021\/02\/7.-HIPPA_Notice_10_2019.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img width=\"244\" height=\"300\" src=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png\" class=\"attachment-medium size-medium\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png 244w, https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon.png 260w\" sizes=\"(max-width: 244px) 100vw, 244px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-938b00c elementor-widget elementor-widget-heading\" data-id=\"938b00c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2021\/02\/7.-HIPPA_Notice_10_2019.pdf\" target=\"_blank\">HIPPA Notice <\/a><\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-7e7b9d8\" data-id=\"7e7b9d8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a695029 elementor-widget elementor-widget-image\" data-id=\"a695029\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2021\/02\/hamilton-D17.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img width=\"244\" height=\"300\" src=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png\" class=\"attachment-medium size-medium\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png 244w, https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon.png 260w\" sizes=\"(max-width: 244px) 100vw, 244px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d27ad81 elementor-widget elementor-widget-heading\" data-id=\"d27ad81\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2021\/02\/hamilton-D17.pdf\" target=\"_blank\">HAM-D<\/a><\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-b0d5898\" data-id=\"b0d5898\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ec0bc18 elementor-widget elementor-widget-image\" data-id=\"ec0bc18\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2021\/02\/New-Patient-Referral-Form-Strive-Mental-Health-Wellness.pdf\" target=\"_blank\">\n\t\t\t\t\t\t\t<img width=\"244\" height=\"300\" src=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png\" class=\"attachment-medium size-medium\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png 244w, https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon.png 260w\" sizes=\"(max-width: 244px) 100vw, 244px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8fbc7c1 elementor-widget elementor-widget-heading\" data-id=\"8fbc7c1\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2021\/02\/New-Patient-Referral-Form-Strive-Mental-Health-Wellness.pdf\" target=\"_blank\">New Patient Referral Form<\/a><\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-4cafe9e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4cafe9e\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;background_motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;background_motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;background_motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:4.6,&quot;sizes&quot;:[]},&quot;background_motion_fx_range&quot;:&quot;viewport&quot;,&quot;background_motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:0,&quot;end&quot;:100}},&quot;background_motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e435860\" data-id=\"e435860\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9d534c6 elementor-widget elementor-widget-heading\" data-id=\"9d534c6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<span class=\"elementor-heading-title elementor-size-default\">Start living your best life today!<\/span>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b1d4c23 elementor-widget elementor-widget-heading\" data-id=\"b1d4c23\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">BOOK YOUR FREE CONSULTATION TODAY<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-inner-section elementor-element elementor-element-07d8db4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"07d8db4\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-49f7ed0\" data-id=\"49f7ed0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-20d2231 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"20d2231\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a href=\"https:\/\/setatime.co\/strivetmscenter\" class=\"elementor-button-link elementor-button elementor-size-md\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">Book My Free Consultation<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>First Visit? First time visiting? Be sure to fill out the forms below. You can fax them over to 216-752-9080, print &amp; scan, or bring them in on your first visit. I plan to self-pay I plan to use Tricare I plan to use Medicare, Medicaid, or Commercial insurance Self-Pay Informed Consent Form &#8211; Part &#8230; <a title=\"New Patient Forms\" class=\"read-more\" href=\"https:\/\/strivetmscenter.com\/resources\/new-patient-forms\/\" aria-label=\"More on New Patient Forms\">Read more<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":80,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.2.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>New Patient Forms - Strive TMS Center of Greater Cleveland<\/title>\n<meta name=\"description\" content=\"New patient forms: Informed Consent pt 1, Informed Consent pt 2\/ Screening Questionnaire, Patient Health Questionnaire, and the Billing and Payment Agreement.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/strivetmscenter.com\/resources\/new-patient-forms\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"New Patient Forms - Strive TMS Center of Greater Cleveland\" \/>\n<meta property=\"og:description\" content=\"New patient forms: Informed Consent pt 1, Informed Consent pt 2\/ Screening Questionnaire, Patient Health Questionnaire, and the Billing and Payment Agreement.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/strivetmscenter.com\/resources\/new-patient-forms\/\" \/>\n<meta property=\"og:site_name\" content=\"Strive TMS Center of Greater Cleveland\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/strive4today\/\" \/>\n<meta property=\"article:modified_time\" content=\"2021-02-05T21:43:31+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2020\/11\/PDF_file_icon-244x300.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Organization\",\"@id\":\"https:\/\/strivetmscenter.com\/#organization\",\"name\":\"Strive TMS Center of Greater Cleveland\",\"url\":\"https:\/\/strivetmscenter.com\/\",\"sameAs\":[\"https:\/\/www.facebook.com\/strive4today\/\"],\"logo\":{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/strivetmscenter.com\/#logo\",\"inLanguage\":\"en-US\",\"url\":\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2019\/12\/Strive-TMS-Center-of-Greater-Cleveland-Final-Logo.png\",\"contentUrl\":\"https:\/\/strivetmscenter.com\/wp-content\/uploads\/2019\/12\/Strive-TMS-Center-of-Greater-Cleveland-Final-Logo.png\",\"width\":1427,\"height\":1335,\"caption\":\"Strive TMS Center of Greater Cleveland\"},\"image\":{\"@id\":\"https:\/\/strivetmscenter.com\/#logo\"}},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/strivetmscenter.com\/#website\",\"url\":\"https:\/\/strivetmscenter.com\/\",\"name\":\"Strive TMS Center of Greater Cleveland\",\"description\":\"Live well. 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