Refer a Patient for Deep TMS

Breakthrough TMS accepts physician referrals for FDA-cleared BrainsWay Deep TMS in Glendale. All four methods of communication are HIPAA compliant: call or text (818) 793-5067, email info@tmsbreakthrough.com, or fax (818) 793-5094. We respond to referring offices directly, treat the TMS episode, and return your patient to your care.

Submit a Referral
Online

Complete the secure referral form below and our team will contact your office to coordinate scheduling. Send records by phone, secure text, secure email, or fax, not through this form.

Submitted through our HIPAA-compliant EHR. Submissions go directly into the EHR; this website never receives or stores them.

We Treat the Episode and Return Your Patient

Breakthrough TMS is a TMS-only practice. When you refer a patient, we manage the Deep TMS episode of care (candidacy evaluation, safety screening, protocol selection, the treatment course, and progress tracking), and your patient returns to your care when the episode concludes. We are set up to complement your treatment relationship, not replace it.

You Refer

Fax the referral or call the provider line. Our team contacts your office and the patient to schedule an evaluation.

We Evaluate & Treat

Dr. Saakyan confirms candidacy under FDA-cleared indications, selects the protocol, and supervises the treatment course.

Your Patient Returns

When the TMS episode concludes, the patient returns to your care with the treatment summary for your records.

Who to Refer

We provide BrainsWay Deep TMS under its FDA-cleared indications:

Major Depressive Disorder in adults who have not improved enough with standard care
Anxious depression: depression with comorbid anxiety symptoms in adults
Late-life depression: FDA-cleared labeling covers patients through age 86
Obsessive-compulsive disorder (H7 coil protocol)
Adolescent Major Depressive Disorder, ages 15 and older

Within these indications, referrals are especially appropriate for:

Patients with treatment-resistant depression: inadequate response to one or more antidepressant trials.
Patients who can't tolerate medication side effects, or who prefer a non-pharmacological, non-systemic treatment.

Not sure whether a patient fits? Call the provider line: a brief case discussion before the referral is often the fastest path.

One-Page Referral Sheet

Prefer not to use the online form? Type into the sheet below, then print it or save it as a PDF and send it back to us by text, email, or fax.

Referral Form

Breakthrough TMS, 100 W Broadway #1050, Glendale, CA 91210

Call or text(818) 793-5067

Emailinfo@tmsbreakthrough.com

Fax(818) 793-5094

Patient

First Name* Last Name* Email Address* Phone Number* Date of Birth* Insurance Carrier & Member ID

Referring Provider

Referring Provider / Member* Referring Practice / Facility / Organization Referring Phone Line* Referring Email and/or Fax

Additional Information

Questions About a Case?

Call the provider line at (818) 793-5067. We are glad to review candidacy, protocol fit, and timelines with you before you refer.

Call (818) 793-5067