Published: 25 Aug 2022
Repetitive transcranial magnetic stimulation application form
'%3e%3cpath%20fill-rule='evenodd'%20clip-rule='evenodd'%20d='M18%2036C22.7739%2036%2027.3523%2034.1036%2030.7279%2030.7279C34.1036%2027.3523%2036%2022.7739%2036%2018C36%2013.2261%2034.1036%208.64773%2030.7279%205.27208C27.3523%201.89642%2022.7739%200%2018%200C13.2261%200%208.64773%201.89642%205.27208%205.27208C1.89642%208.64773%200%2013.2261%200%2018C0%2022.7739%201.89642%2027.3523%205.27208%2030.7279C8.64773%2034.1036%2013.2261%2036%2018%2036ZM20.0925%2014.823L14.94%2015.4688L14.7555%2016.3237L15.768%2016.5105C16.4295%2016.668%2016.56%2016.9065%2016.416%2017.5658L14.7555%2025.3687C14.319%2027.387%2014.9918%2028.3365%2016.5735%2028.3365C17.7998%2028.3365%2019.224%2027.7695%2019.8698%2026.991L20.0677%2026.055C19.6178%2026.451%2018.9607%2026.6085%2018.5243%2026.6085C17.9055%2026.6085%2017.6805%2026.1742%2017.8403%2025.4093L20.0925%2014.823ZM18%2012.375C18.5967%2012.375%2019.169%2012.1379%2019.591%2011.716C20.0129%2011.294%2020.25%2010.7217%2020.25%2010.125C20.25%209.52826%2020.0129%208.95597%2019.591%208.53401C19.169%208.11205%2018.5967%207.875%2018%207.875C17.4033%207.875%2016.831%208.11205%2016.409%208.53401C15.9871%208.95597%2015.75%209.52826%2015.75%2010.125C15.75%2010.7217%2015.9871%2011.294%2016.409%2011.716C16.831%2012.1379%2017.4033%2012.375%2018%2012.375Z'%20fill='black'/%3e%3c/g%3e%3c/mask%3e%3cg%20mask='url(%23mask0)'%3e%3crect%20x='-3'%20y='-3'%20width='42'%20height='42'%20fill='white'/%3e%3c/g%3e%3cdefs%3e%3cclipPath%20id='clip0'%3e%3crect%20width='36'%20height='36'%20fill='white'/%3e%3c/clipPath%3e%3c/defs%3e%3c/svg%3e)
Download the PDF before filling it in
Important: Please download this PDF to your computer. You can fill it in using Adobe Reader as it may not save if you attempt to fill it in using your web browser.