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ECT Referral Checklist To help determine if ECT is an appropriate for you, please share the following information with our staff: A brief history of present illness & symptoms Specific goals for ECT treatment Past psychiatric/substance abuse history Medical history Allergies Previous medication trials Current medications Mental status exam results Patients assets & strengths Pertinent lab work results Signature of referring psychiatrist To refer a patient, please call 303-666-2004 and send information via fax to 303-395-0470

Borovcanin, [email protected] Disclaimer All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers

Treat compounded telehealth as an out-of-pocket expense and budget for the recurring medication line specifically