Refer a patient to AlmaraClinic
We accept patients referred to our specialties and for transcranial magnetic stimulation (TMS). With the patient's consent, we keep the referring doctor informed throughout their care.
Clinical information, with the patient's consent.
Sharing clinical information with the referring doctor always depends on the patient's express permission and respects medical confidentiality.
After the assessment
Summary of the assessment consultation. For TMS, of the TMS Assessment Consultation with the clinical director.
Plan and end of treatment
Proposed plan and, at the end of treatment, a progress report.
Throughout care
Contact with the responsible doctor to discuss the case, subject to availability.
Criteria for TMS
ExoTMS®: non-invasive transcranial magnetic stimulation, using a CE-marked medical device. Eligibility is assessed by the clinical director, Dr. Bruno Gomes (Internal Medicine), at the TMS Assessment Consultation. Protocols of 6 to 30 sessions, 18.5 to 24.5 minutes each, as prescribed.
Indications
- Depression, including medication-resistant depression.
- OCD (obsessive-compulsive disorder).
- Associated anxiety symptoms.
- Binge eating, as an option assessed in consultation.
Contraindications
- Metal implants in the head or neck (except dental), such as aneurysm clips or metal fragments.
- Cochlear implants.
- Brain or vagus nerve stimulators.
- Implanted pacemaker or defibrillator, to be assessed.
- History of epilepsy or seizures.
- Pregnancy, to be assessed by the doctor.
- Other conditions assessed at the consultation.
Indicative, non-exhaustive list.
Most common effects: mild headache and scalp discomfort, mainly in the first sessions; mild tiredness. Rare: seizure, very rare, which is the reason for the safety screening.
Useful information to send
- Diagnosis and reason for referral.
- Current medication and previous treatments, with doses and duration.
- Relevant reports and tests.
- History of epilepsy, implants or devices.
Protocol, evidence and references in a single document.
Indications, contraindications, treatment course, study results by indication and bibliography. Five pages, in medical language.
By form or by phone.
Leave your contact details or call 211 375 819. Our team will get in touch with you.
Do not include the patient's health data in the form.
Discuss the case with us before referring.
Referral involves no form of compensation, and the patient remains free to choose their doctor and treatment.