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Referring Providers

What referring teams can tell patients about the TMS technician

Tell patients that a TMS technician may guide the session room while the licensed clinician remains responsible for treatment decisions.

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Transcranial magnetic stimulation (TMS) education

Referring teams can tell patients that meeting a TMS technician in the treatment room is a normal part of a TMS visit. The technician supports the practical session flow under a clinician-prescribed protocol, while the licensed clinician remains responsible for individual care decisions.

One helpful explanation is: 'The technician may be the person who welcomes you, helps you get settled, and guides the practical steps of the visit.' This prepares patients for the treatment-day experience without suggesting that the technician independently directs clinical treatment.

A second point is equally important: 'The licensed clinician directs your care.' The TMS technician does not independently decide whether TMS is right for a patient, choose stimulation parameters, or make changes to the treatment plan. Patients should bring individual clinical questions to the licensed clinician.

A third point concerns documentation. The technician records practical details from the treatment-day visit, such as session timing and completion. This session documentation helps the care team maintain an organized record. It does not replace clinical assessment, medical decision-making, or a patient's conversation with the clinician.

Before the first TMS appointment, encourage patients to prepare a short question list. Useful questions include: 'What should I bring?' 'Who will I meet when I arrive?' 'Where can my support person wait?' and 'How should I raise a clinical question?' These questions help patients separate practical preparation from clinical discussion.

Avoid promising a particular schedule, device experience, insurance outcome, or treatment result. Instead, direct patients to published TMS information and the consultation process for current details. The next step is to help the patient confirm the appointment, prepare logistical questions, and bring individual care questions to the licensed clinical team.

A patient-friendly script can be useful: 'The technician can help you understand the visit itself, and the clinician can discuss questions about your individual care.' This gives patients a clear starting point without asking them to know the clinic's internal roles before they arrive.

Sources: NIMH — Brain stimulation therapiesMedlinePlus — Talking with your doctor

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