---
title: TMS course note Template & Example | Nextvisit
description: TMS session note with motor threshold, treatment parameters, side effects, and PHQ-9 course trend.
url: "https://nextvisit.ai/templates/tms-course-note"
type: static
generatedAt: "2026-09-21T03:14:00.695Z"
---

Note template
# TMS course note Template & Example

TMS session note with motor threshold, treatment parameters, side effects, and PHQ-9 course trend.

Updated May 7, 2026

A typical TMS induction is 30 to 36 sessions over six to nine weeks. Every session needs treatment parameters, side effects, and a response trend. Payers reauthorize across the course. First-and-last-visit charts fail medical-necessity review.

Built for TMS-certified practices on FDA-cleared protocols: high-frequency left DLPFC for MDD, deep TMS for MDD or OCD, theta-burst, and accelerated. Covers the mapping visit, each treatment session, and scale checkpoints (PHQ-9 every five sessions is common). Sized for a 20 to 40 minute visit including setup.

```
Patient: [patient_name]    DOB: [dob]    Age: [age]
Date: [encounter_date]     Provider: [provider_name]    Operator: [operator_name]
Device: [tms_device]       Coil: [coil_type]
Session number: [session_number] of [total_sessions]
Protocol: high-frequency left DLPFC / deep TMS / iTBS / accelerated

Pre-session
- Interval mood and side-effect review:
- Sleep, headache, scalp discomfort since last session:
- Adherence to oral antidepressant if applicable:
- Recent seizure-threshold concerns (medication change, sleep deprivation, alcohol, stimulants):
- Vitals if obtained:
- PHQ-9 / HAM-D / IDS-SR if checkpoint session: [score]

Motor threshold (repeat or weekly recheck)
- Method (visual, EMG):
- Resting motor threshold percentage:
- Treatment intensity (percentage of MT):

Treatment parameters
- Frequency (Hz):
- Train duration (sec):
- Inter-train interval (sec):
- Number of trains:
- Pulses per train:
- Total pulses delivered this session:
- Coil location (F3, beam-F3, deep H1, other):
- Treatment time (min):

During session
- Patient tolerance:
- Pain or discomfort rating (0 to 10):
- Adjustments made (intensity reduction, repositioning):
- Adverse events (twitching, nausea, near-syncope, none):

Post-session
- Headache or scalp discomfort post-session:
- Mood reported by patient post-session:
- Discharge ambulation:
- Driving cleared (no contraindication this session): yes / no

Course response trending
- Depression scale trend across course:
- Functional change reported by patient:
- Side effect pattern across course:

Plan
- Continue protocol as scheduled: yes / no
- Parameter adjustment for next session:
- Next session date:
- Reauthorization checkpoint approaching: yes / no
- Anticipated taper or maintenance schedule:
```

AriaMD captures the parameters the operator dictates, the interval review, and during-session events. Motor threshold and intensity carry across sessions. PHQ-9 or HAM-D scores tag checkpoints and feed the course-response trend. The Active TMS tag keeps a multi-patient course panel filterable.

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