New Patient Forms

Thank you for your interest in scheduling an appointment with Axon TMS. Before we can schedule an appointment, a new patient questionnaire must be completed. Click the button below to fill out and submit our new patient questionnaire.

Once our team has reviewed your patient questionnaire, a team member will contact you to schedule an appointment.

The forms below are to be completed by you. If you have any questions, please contact our office.

Patient Questionnaire Form

Release of Information Form

Insurance Accepted

Axon TMS accepts most major insurance plans. We currently accept the following insurance plans:

Indiana Traditional Medicaid
Aetna Health Care
Anthem HIP
Tricare West (aka) Humana Military
Traditional Medicare
Anthem BCBS PPO
UMR
United HealthCare/Optum
SIHO
All Savers

Accepted plans are subject to change without notice. Please check with your insurance provider to see if Axon TMS is In-Network.