Invitation to Partner: Collaborate with FACTMS to Expand TMS Treatment AccessÂ
Name
*
First Name
Last Name
Business Name
E-mail
*
example@example.com
Type of Clinic
*
Please Select
Academic Institution
Existing Mental Health Clinic
Other
Clinic Type
Country where you would like to open the TMS clinic
City or Region
Timeframe to launch clinic
Does this Facility currently offer TMS?
YES
No
Would this be a stand-alone clinic or part of existing mental services?
Stand-alone
Existing
Additional information or comments?
Submit
Should be Empty: