Supplemental Applications and Questionnaires

Thank you for your interest in PRMS.

Please download and complete the following if you:

• practice telepsychiatry-  Telepsychiatry Questionnaire (.pdf)
• own a private practice that is incorporated, a P/LLC or a fictitious name/DB – Vicarious Liability Supplemental Application (.pdf)
  • please email completed Vicarious Liability form with your articles of incorporation
• provide Ketamine treatment - Ketamine Questionnaire Online Form
• administer Transcranial Magnetic Stimulation (TMS) - TMS Questionnaire (.pdf)

Please email your completed documents to ClientServices@prms.com.