BEGIN YOUR JOURNEY WITH MINDBLISS PSYCHIATRY IN EL PASO, TX.
Thank you for choosing MindBliss Psychiatry. We’ve created this page to make finding and completing your new patient forms as straightforward as possible. Completing forms before your first visit helps us spend your appointment time focusing on you, not paperwork.
WELCOME — HERE’S YOUR FIRST STEP.
Text 915-229-5033 to book
Why Complete Your New Patient Forms?
Before your first appointment, we ask that you fill out a few important documents so your provider can:
- Understand your medical and mental health history
- Review current symptoms and concerns
- Know your treatment goals
- Prepare for a productive first visit
This not only saves time, it helps your provider deliver personalized, high-quality care from day one.
Patient Forms You May Need
Below are the most common forms new patients complete. You can download them or access them online:
TMS REGISTRATION
Our TMS Registration Form PDF contains the same information necessary for your insurance's prior authorization form. We recognize that filling out the form can be a bit tedious, but it is crucial to obtain TMS treatment. You can conveniently download and print it at home.
TMS EXCLUSION CRITERIA
Kindly fill out the attached PDF form before beginning your TMS treatment. If you have checked any boxes in the Contraindicated Section, TMS therapy is deemed contraindicated and would not be a suitable treatment option for you.
MEDICATION CHECKLIST
The attached PDF features a list of frequently prescribed medications for treating depression. If you have a list of medications or have had your records sent from your doctor’s office, kindly complete this form and bring those documents with you to your consultation.
PHQ-9 AND GAD-7
The PHQ-9 and GAD-7 can be utilized to screen for depression and assess the severity of symptoms in individuals experiencing depression. Additionally, both the PHQ-9 and GAD-7 are applicable for other anxiety disorders, including phobias and generalized anxiety disorder.
CONSENT TO RELEASE
This Consent to Release Form allows us to disclose information specifically related to your treatment, your psychiatric history, and may include current medications only to specific resources that you specify.
HIPAA NOTICE
Our HIPAA notice protects you as a patient. We will maintain the privacy of your health information and will not disclose your information to others without your permission, or unless the law requires us to do so.
PATIENT & INFORMED CONSENT
Outlines the treatment that the doctor has prescribed for you, the risks of this treatment, the potential benefits of this treatment to you, and any alternative treatments that are available for you if you decide not to be treated with TMS Therapy.
FINANCIAL POLICY & AUTHORIZATION
MindBliss Psychiatry makes every attempt to obtain pre-authorization for TMS therapy treatment with your primary insurance carrier; however, patients often have co-pays and deductibles that must be met.
AUTHORIZATION TO DISCLOSE
This signed PDF allows you to authorize that a Practice, Provider or entity with your records has the right to disclose the necessary mental health records to MindBliss Psychiatry. This authorization expires 60 days from the date signed, unless revoked earlier.
HEARING PROTECTION WAIVER
This form or PDF is optional and must be signed if you choose not to wear hearing protection during your TMS treatment. It is recommended to wear ear plugs during TMS therapy treatment to protect your hearing.
Start Your Care with Confidence
Taking the first step doesn’t have to be overwhelming. Our team is here to guide you through scheduling, paperwork, and treatment options—every step of the way.
At MindBliss Psychiatry where your compassionate, personalized mental health care starts here.
Text 915-229-5033 to book
