qEEG Intake Form

Thank you for your interest in booking an independent qEEG (Quantitative Electroencephalography) assessment with The rTMS Centre.
Please take a few moments to complete the intake form below as thoroughly as possible. The information you provide will help our clinical team gain an understanding of your background, medical history, and current concerns.

Once we have received your completed form, our team will carefully review your submission to ensure that a qEEG assessment is appropriate and safe for you. Following this, a member of our staff will contact you to confirm the next steps, answer any questions you may have, and arrange a convenient time for your appointment.