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Provider referrals

Using a Touch Phone

how to make a referral

Refer a patient by phone: Providers can call 608-713-9898, option 5 for patient referrals.

 

Refer a patient online: To refer a patient online, please complete the information requested below. This is a secure form, and the information you provide will enable us to assist your patient as efficiently as possible.  * denotes required field.

For further questions or concerns we can be reached by phone at 608-713-9898 option 5, or by email at tms@csipmadison.com.

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Referring provider office information
patient's information

Thanks for submitting!

Someone from our staff will be in touch soon!

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What to expect

Our goal is to provide patients with safe and consistent treatments. Coordination of care and working in collaboration with external providers is essential to this practice.

 

With patient consent we; update referring providers on TMS treatment outcomes, notify referring providers of any significant events, invite referring providers to witness TMS treatments, and share TMS related data with referring providers at the conclusion of TMS treatments.

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