Tms therapy in bellevue. +1 425-256-2967. Tms therapy in bellevue

 
 +1 425-256-2967Tms therapy in bellevue  The Benefits of TMS Therapy for Depression in Bellevue

Ours is the only clinic in Washington state offering all major FDA-approved treatment options – TMS, Esketamine, IV Ketamine, ECT and others – for disorders that have not improved with medications and therapy. If you are suffering from depression, OCD, anxiety or similar disorders, and have not had satisfactory results from pharmaceutical medications or other treatments, NeuroStim TMS may be able to help through TMS Therapy. Mon 7:00 am - 7:00 pmADD A TMS CENTER. At Clarity Clinic, we believe that everyone deserves access to effective mental health treatments. LEARN MORE TMS TREATMENT TMS TREATMENT. We’re here to help! To contact a member of our team fill out the form and we will get back to you within one business day. List Your Practice; Find Doctors and Dentists Near You. Clinicians providing this treatment utilize strong magnets to deliver magnetic pulses through your scalp to improve symptoms of neurological or mental health disorders. Theta burst TMS therapy (TBS) is a shortened treatment protocol, covered by some insurance plans, can be performed in as little as 3-minutes with several treatments per day over a five day period. Transcranial magnetic stimulation (TMS) uses coils of various shapes and sizes held near the scalp to stimulate the brain beneath the skull; a figure-8 coil is commonly used (Figure). TMS. Usual treatment is five days a week with courses of treatment lasting four to six weeks. West Bloomfield. Neuropsychiatric Treatment Center. Downar has directed dozens of TMS clinical studies, and his work has been published in numerous high-impact international research journals. Deep TMS is a clinically proven, noninvasive in-office brain stimulation treatment that uses magnetic fields to activate neural networks in the brain to improve symptoms of mental. Dr. NeuroStim TMS is Washington's largest provider of Transcranial Magnetic Stimulation (TMS Therapy) with nine (9) TMS treatment centers located throughout the Puget Sound Region (Everett, Seattle. Featured Results . Listed in Washington. NeuroStar TMS Therapy is:Transcranial magnetic stimulation (TMS) is a safe, gentle, FDA-approved treatment for depression and OCD that can provide long-lasting relief without the side effects of medications. 4020 Lake Washington Blvd NE, Suite 210. Message. MTI Physical Therapy - Bellevue, a Medical Group Practice located in Bellevue, WA. Rebecca Allen, a psychiatrist at Harborview Medical Center, explains the indications, mechanisms, evidence, and practical aspects of TMS for depression. Benefits of TMS Therapy. P: 844-867-8444 F: (925) 378-2609. Bellevue Medical Partners Pllc is a Group Practice with 1 Location. If you are suffering from depression, OCD, anxiety or similar disorders, and have not had satisfactory results from pharmaceutical medications or other treatments, NeuroStim TMS may be able to help through TMS Therapy. Find the Best Dermatologic Surgeon near you in Bellevue, OH . 5. Compare David Dixon, PhD with these Psychologists near Bellevue, WA . doi: 10. Transcranial magnetic stimulation (TMS) is an FDA-cleared, non-invasive, nonmedication, alternative treatment for depression and obsessive compulsive disorder. Verified. Bellevue. The care provided to patients is extremely thorough and there is a very high standard of excellence expected, and delivered, on a daily basis. McClelland, M. The National Institute of Health found that in 2020, almost 15 million U. Rusk Institute of Rehabilitation Medicine at New York. List Your Practice; Find Doctors and Dentists Near You . The TMS protocol requires daily sessions lasting less than 5 minutes (Express TMS) for about 7-8 weeks. 5. Currently, insurances do not cover. Food and Drug Administration (FDA) cleared for marketing via the 510(k) process the NeuroStar TMS (transcranial magnetic stimulation) Therapy system, which is specifically indicated for the treatment of major depressive disorder in adult patients who have failed to achieve satisfactory improvement from 1 prior anti. ×Book a Free Phone Consult. Leave a review . 127 Practicing Physicians. 11695 NE 4th Street, Bellevue, WA, 98004 . Two-thirds of patients who underwent TMS therapy during FDA clinical trials reported full remission or a reduction in depression symptoms. A large referral network – we are the longest. Side Effects of TMS Therapy. Get reviews, hours, directions, coupons and more for NeuroStim TMS Bellevue at 1240 116th Ave NE Ste 102, Bellevue, WA 98004. Bellevue Vision Source . Featured Results . How Depression Is Treated. As the largest suburb of Spokane, it offers easy access to urban delights with the calm, comfort, and convenience of suburban living. Thank you for joining us today for this lecture on the risks and safety of transcranial magnetic stimulation, TMS. NeuroStim TMS Centers offer TMS Therapy for patients in 9 locations across WA. Unlike vagus nerve stimulation or deep brain stimulation, rTMS does not require surgery or implanting electrodes. He was the 5th chiropractor I saw after getting several poor recommendations from other sources. We provide free consultations during which you can discuss your symptoms and determine if TMS therapy is the best pathway for your personal situation. When antidepressants fail to provide relief, TMS can help. Dixon's Rating . NeuroStim TMS is Washington's largest provider of Transcranial Magnetic Stimulation (TMS Therapy) with nine (9) TMS treatment centers located throughout the Puget Sound Region (Everett, Seattle. Port Townsend +1 360-385-9818 . Transcranial magnetic stimulation (TMS), a research tool with various effects on brain cells, can depolarize cerebral neurons noninvasively. Please make a note of it!Bellevue Ketamine is one-of-a-kind medical practice located in the Pacific northwest, offering cutting-edge protocols that target both pain and psychiatric illness. Mon8:00 am - 5:00 pm. Some people respond better to the FDA-approved TMS treatment. LOCATIONS. Transcranial Magnetic Stimulation. 1240 116TH AVE NE STE 102, BELLEVUE, WA, 98004 . 256. 15 Neurodiagnostic jobs available in Wollochet, WA on Indeed. Depression can take many forms and every individual requires a special treatment plan. Average treatment visits are around 20 minutes. Minor And James Surgical Specialists . Int J Neuropsychopharmacol. SPECIALTIES. Please note: Our Bellevue Ketamine Clinic has moved into our newly designed, expanded practice facility location at:Available both in-person and online. Be first to leave a review. Showing 1-1 of 1 review "She was excellent. 222 112th Ave NE Ste 101. Our team will manage verification and approval with your health insurer. Some nutrients may help people with depression feel better: Omega-3 fatty acids, found in seafood like salmon and shrimp. An expert panel of clinicians and academic researchers systematically reviewed over 100 peer-reviewed articles on TMS therapy and graded the strength of the evidence using the Levels of. Account; List Your Clinic Today. Next Page: Frequently Asked Questions. Schedule a Free Consultation* If you are suffering from depression, OCD, anxiety or similar disorders, and have not had satisfactory results from pharmaceutical medications or other treatments, NeuroStim TMS may be able to help through TMS Therapy. Find Trauma and PTSD Psychiatrists in Bellevue, King County, Washington,. I enjoy providing a supportive space to explore gender. Karma L Denmark . The side effects are usually mild and temporary. Dr. Healing. TMS Therapy | Transcranial Magnetic Stimulation TMS is a safe, effective treatment option for a variety of mental health conditions. Diagnosed with bipolar disorder six years ago ("I was lucky to have a GP. Long-Term Negative Effects. including Medicare. Transcranial magnetic stimulation (TMS) provides safe and effective treatment for depression. NeuroStar TMS Therapy ® is an outpatient procedure. 0 Office cleanliness . Patients receive TMS 5 days a week. It's called a "noninvasive" procedure because it's done without using surgery or cutting the skin. Contact NeuroStim today to schedule an initial evaluation and consultation. 13400 NE 20TH ST STE 28. It’s Just Like Electroconvulsive Shock Therapy. Currently Bellevue Medical Partners Pllc's 2 physicians cover 4 specialty areas of medicine. 010. In the mid-1970s, a British researcher named Anthony Barker wanted to measure the speed at which electrical signals travel. Patients often experience other benefits, such as improvement in the ability to focus, a more restful sleep, mild improvements in cognition and memory. The success rate of TMS therapy. Food and Drug Administration (FDA) cleared for marketing via the 510(k) process the NeuroStar TMS (transcranial magnetic stimulation) Therapy system, which is specifically indicated for the treatment of major depressive disorder in adult patients who have failed to achieve satisfactory improvement from 1 prior anti. Dr. We’ll Determine Your TMS Treatment Timeframe in Seattle. If you or a loved one is suffering from depression, contact us to determine if TMS Therapy is right for you. Bellevue, WA 98004. This answer is a little complicated, but generally speaking, yes, Medicaid may pay for a percentage or all of TMS treatment, depending on the specific Medicaid plan you have. Eastside TMS and Wellness center is designed with a focus on clinical excellence. Renton, WA 98057. The procedure uses a magnetic coil to enhance activity in specific brain areas, such as the dorsolateral prefrontal cortex. M. Next Page: Frequently Asked Questions. Cited Here | PubMed; 17. A professional will evaluate your specific needs before establishing a session timeframe. Transcranial Magnetic Stimulation (TMS) is a non-invasive method that stimulates neurons in the brain. - She was excellent. BELLEVUE, WA, 98004. RATINGS AND REVIEWS . Transcranial Magnetic Stimulation (TMS) is a non-invasive procedure that delivers magnetic pulses to the brain to change neural activity. Please make a note of it! Bellevue Ketamine is one-of-a-kind medical practice located in the Pacific northwest, offering cutting-edge protocols that target both pain and psychiatric illness. No referrals necessary. Ketamine Infusion Providers by Location 14 . RHS is a group of dedicated mental health specialists working in the Tri-cities and Bellevue area of Washington State. March 25, 2022 • Research Highlight. Most patients have TMS therapy sessions five days a week for four to six weeks. Chollman's Rating . Featured Results . Fri8:00 am - 5:00 pm. How TMS Therapy Works. Dr. In this small open-label study testing the new Stanford Accelerated Intelligent Neuromodulation. 206-503-2450. I have always felt cared for by my supervisors and the company owners. Visits, however, don’t often exceed one hour. TBS is just as effective as the standard TMS treatment protocol, and is often the best option for those living longer distances or perhaps those who. A dedicated NeuroStim TMS patient advocate will give you a call back at the time range you select below. Each treatment is typically between 19 and 37 minutes and therapy is 5 days a week for 4 to. Each session may last anywhere from 20 to 50 minutes, depending on the device and. Find Trauma and PTSD Psychiatrists in Bellevue, King County, Washington,. Should you be interested in offering TMS in your clinic, we can help make that happen at no cost to you and with no need for additional staff. n/a Average office wait time . Food and Drug Administration for the treatment of major depression and other conditions. Brain Stimul. TMS is non-systemic, which means any side effects are contained in the. 10. TMS Procedure. Leave a review . Mon 8:00 am - 5:00 pm3626 Factoria Blvd SE. 08 Mar, 2022, 08:03 ET. All products cleared for market use are indicated for: “Treatment of major depressive disorder in adult patients who have failed to receive satisfactory improvement from prior antidepressant medication in the. Clinical studies showed that one in two patients who had TMS had significant improvement in. Through a process of electromagnetic induction, this rapid. It can treat depression, obsessive-compulsive disorder and other brain-related conditions. Book an appointment today!NeuroStim TMS Bellevue (2023) Lauri K. Bellevue. Transcranial Magnetic Stimulation. Browse: All Specialties All Conditions All Locations. Associated Behavioral Health offers ADIS classes once weekly, with individual sessions available by appointment. Transcranial magnetic stimulation (TMS) is an FDA-approved, non-pharmaceutical method of treating depression. TMS stands for “transcranial magnetic stimulation. We’re here to help! We invite you to contact our Bellevue-Redmond location for information about our NeuroStim TMS treatments. New patients are welcome. Dr. SPECIALTIES. Very small electrical currents activate cells that release neurotransmitters like serotonin, norepinephrine, and dopamine. Patients sometimes feel unsure or uneasy about TMS because it sounds invasive and. Call us at (844) 335-7384 to learn more. The average TMS therapy session lasts about 20 to 40 minutes. (2021). These pulses cause electrical changes within the underlying brain circuitry. Visit Website . LOCATIONS. If you are a provider needing to contact the Neurology team at Virginia Mason Medical Center, please call 206-287-6070. Depression Treatment in BellevueTMS therapy for depression is a viable alternative if conventional methods fail to yield results. Watch the short video below for a tour through one of. Maintenance therapy (to prevent relapse once improved) is also available. Learn how TMS works, who can. 11695 NE 4th Street . Get Help. If you’re searching for “TMS Therapy Near Me,” you’ll be pleased to know that we have ten accessible clinic locations throughout Washington State. 399. Call 425. Visit Seattle Clinic Bellevue TMS Clinic 1240 116th AVE NE, Suite 102, Bellevue, WA 98004 Visit Bellevue Clinic Everett TMS Clinic 125 130th Street SE, Suite 204, Everett,. NeuroStim also offers a very distinctive service to you as a physician. More recently, in June of 2019 a TMS therapy device used to treat individuals with obsessive-compulsive disorder (OCD. Addiction Treatments. " July 28, 2023. S. Please call us at 845-471-1807 to speak with our. TMS is typically administered once a week for 6 to 7 weeks. Transcranial magnetic stimulation uses a magnet to influence brain electrical activity. Jill Solomon. Specializing in Treatment Resistant Depression, ADD / ADHD, & Anxiety. The Clinical TMS Society Consensus Review and Treatment Recommendations for TMS Therapy for Major Depressive Disorder. TMS therapy’s average cost is between $400 and $500 per session, with a total cost of around $15,000 for a full course of treatment. These programs offer support and interventions for individuals grappling with various addictions, including drugs and alcohol. Sarno, MD, a retired professor of Clinical Rehabilitation Medicine at New York University School of Medicine, and attending physician at the Howard A. Contact NeuroStim in Bellevue and Lakewood to discuss TMS treatments with a consultant today. You deserve. He’s no longer plagued by thoughts of self-harm. NeuroStim TMS utilizes pulses of magnetic energy similar in strength to those produced by magnetic resonance imaging (MRI) machines to stimulate areas of the brain known to control mood. We serve patients in the greater Seattle area. Patricia Bardina's Rating . doi: 10. Prefrontal TMS therapy repeated daily for four to six weeks is a. Food and Drug Administration (FDA) approved a TMS device that treats patients with medication-resistant depression. Ask Trish*, however, and it's somewhere in the ballpark of $6,000 a year. I offer medication management, therapy a combination of both and TMS. Transcranial magnetic stimulation (TMS) is a non-drug treatment for people experiencing major depression to help the brain regulate mood. Electric current flows through the coil, quickly reversing the direction of flow and inducing alternating magnetic fields. Compare Rick Mcmanus, OD with these Optometrists near Bellevue, WA . Safe, non-invasive, FDA-approved treatment for depression, OCD, and more. It’s also non-systemic, so nothing will need to circulate through the blood stream. Individuals that have tried medications and psychotherapy to relieve their depression, with little or no success, often give up hope. Comprehensive acute and chronic pain management. Mon 7:30 am - 8:00 pmTranscranial magnetic stimulation (TMS), which was approved by the FDA for routine clinical use in 2013, is a painless and virtually side-effect free treatment for people with severe depression. 206-402-3375When our Seattle-Northgate neighbors ask us why NeuroStim TMS is such a vital partner in promoting mental health in the Northgate area, we are happy to provide answers! Our treatment outcomes really set us apart, with over 70 percent of patients achieving more than 50 percent improvement in their condition and 46 percent experiencing a full. NeuroStim TMS: World Class TMS Therapy Experts in Spokane Valley. New patients are welcome. com. Four years later (2012), Europe approved it for treatment. 807. Find TMS Clinic Nearby; TMS Treatment For Patients. Eastside TMS and Wellness Center has a patient-first philosophy, which means we take the time to ensure the comfort of our patients, offer compassion, and answer any questions that you may have. Contact Us. Call 425. Associated Behavioral Health Care-Bellevue . He works in Napa, CA and 2 other locations and specializes in Family Medicine. Union Avenue, Suite 14 Tacoma, WA 98405 —KITSAP— 17791 Fjord Dr NE, Suite 110 Poulsbo, WA 98370. Health. Bellevue, OH has 3 Dermatologic Surgeon results with an average of 32 years of experience and a total of 47 reviews. Of course, you should show up to your appointment 15 minutes earlier and expect to wait for a bit, so be sure to factor in those variables. Repetitive transcranial magnetic stimulation (rTMS) in the treatment of obsessive–compulsive disorder (OCD) and Tourette's syndrome (TS). anxiety; depression; ocd; ptsd; insurance coverage;. Currently VA Bellevue Community Based Outpatient Clinic's 4 physicians cover 4 specialty areas of medicine. Please fill out this short form today for a free phone consultation with NeuroStim TMS. Electroencephalogr Clin Neurophysiol - Evoked Potentials. 751 NE Blakely Dr Ste 4020, Issaquah, WA 98029 0. Phone: 206-467-6300 extension 12. This article reviews recent research that supports Stanford’s revolutionary approach, which may improve the effectiveness and accessibility of TMS for depression. Transcranial magnetic stimulation (TMS) of the brain is a Vermont Medicaid covered benefit for all eligible beneficiaries who meet the following criteria: 1. On average, the typical TMS therapy session lasts around 20 to 40 minutes. 1750 112th Ave. Book a Free Phone Consult* If you are looking for an alternative depression treatment and have not had satisfactory results from pharmaceutical medications or other treatments, NeuroStim TMS may be able to help through TMS Therapy. 4381 or fill out the form below. If you are suffering from depression, OCD, anxiety or similar disorders, and have not had satisfactory results from pharmaceutical medications or other treatments, NeuroStim TMS may be able to help through TMS Therapy. (425) 440-3351 | (425) 440-3439. Currently Bellevue Heart Group Llc's 3 physicians cover 3 specialty areas of medicine. Santa Clara and. Mon7:30 am - 5:00 pm. Our center is staffed with an experienced team of experts in the field of Brain Stimulation therapies. Address: Bellefield Office Park, Conifer Building 1450 114th Ave SE, Suite 110 Bellevue, WA 98004 Phone: 206-467-6300, extension 11 Our Bellevue clinic offers consultation for. It’s effective in treating depression and other mental health conditions. Transcranial Magnetic Stimulation therapy, or TMS therapy, is a groundbreaking treatment created specifically to help individuals suffering from Major Depressive Disorder. RegisterProliance Retina Bellevue is a Practice with 1 Location. Suite 120 Bellevue, WA 98005 o. While both ECT and TMS can be used to treat. Bellevue Family Practice is a Group Practice with 1 Location. In 1985, Anthony Barker and his team developed transcranial magnetic stimulation (TMS) when they produced a motor response by noninvasively applying a magnetic field to the human motor. Compare Devin Schock, Physician with these Family Physicians near Bellevue, WA . Dr. Transcranial magnetic stimulation (TMS) provides safe and effective treatment for depression. George. Call 304. TMS is an FDA-cleared, transformational therapy used to treat the symptoms of depression in patients who do not respond to medications. We provide compassionate, respectful and expert care to treat a wide range of emotional and mental health disorders, including depression, bipolar disorder, anxiety, post-traumatic stress, addiction, sleep. Bellevue, WA, 98004 . 1 review of NeuroStim TMS Center "I'm still at the beginnings of my treatment but the place is attractive and clean. Dr. You need to talk to a healthcare practitioner. Schedule a Free Consultation* If you are suffering from depression, OCD, anxiety or similar disorders, and have not had satisfactory results from pharmaceutical medications or other treatments, NeuroStim TMS may be able to help through NeuroStim TMS Therapy. National Suicide Prevention Lifeline (24/7): 1-800-273-TALK or text 741741. Jill Solomon, MFT ( Therapist) Jill is a licensed marriage and family therapist in the Los. BELLEVUE, WA, 98004. *Most consultations. Call Admissions Team. TMS Providers by Location 3 . TMS therapy is an FDA-approved treatment for depression and obsessive-compulsive disorder. Please fill out this short form today for a free phone consultation with NeuroStim TMS. Dr. ***. Mon 8:00 am - 5:00 pm—BELLEVUE— 1450 114th Avenue SE, Suite 110 Bellevue, WA 98004 —BELLINGHAM— 11 Bellwether Way, Suite 210 Bellingham, WA 98225 —TACOMA— 1530 S. BELLEVUE, WA, 98004. , LMHC,. Search PubMed;Some say you can't put a price on peace of mind. A dedicated NeuroStim TMS patient advocate will give you a call back at the time range you select below. Give us a call now to see how we can help you: (888) 963-9467. Eastside TMS and Wellness center is designed with a focus on clinical excellence. Depression Treatment in Renton, Bellevue & Seattle Area. TMS is designated for the treatment of Major Depressive Disorder in adult patients who have failed to receive adequate improvement from prior antidepressant medication. R. A psychiatrist might suggest electroconvulsive therapy (ECT) or other forms of brain stimulation. The location you tried did not return a result. Find Top TMS Transcranial Magnetic Stimulation Doctors in Kentucky. D. Browse verified therapists in Bellevue, WA, available in-person or online: Sue Neufeld-Ellis. This is a non-invasive and drug-free treatment option approved by the FDA. 1530 140th Ave NE. Account List Your Clinic TodayBellevue, WA 98005 o. New patients are welcome. Leave a review . Find Providers by Procedure Find Providers by Condition. Transcranial magnetic stimulation. This provider currently accepts 6 insurance plans including Medicaid. . We provide free consultations during which you can discuss your symptoms and determine if TMS therapy is the best pathway for your personal situation. If you or a loved one suffers from depression, you want to know all your treatment options. Learn more below! How To Register: Call our main line at 425-256-4381to get added. New patients are welcome. 11 miles. Mild headaches. (425) 490-4769. *Most consultations. tingling or twitching, especially in the face. It is a technique that uses powerful, focused magnetic field pulses to stimulate the neurons of the brain. Neurostim Tms Bellevue . This stimulates your brain’s nerve cells in specific areas. Be first to leave a review. Transcranial Magnetic Stimulation (TMS) Therapy is an innovative non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms, restoring HOPE to those struggling to. TMS Therapy Today Where to Start Find a Provider. Please verify insurance information directly with your doctor's office as it may change frequently. n/a Office cleanliness . Directions on google map. TMS treatment costs $160 per session and is not Medicare rebatable or covered by private health insurance. , Berlow, Y. Zips. Currently Bellevue Family Medicine's 7 physicians cover 5 specialty areas of medicine. During the TMS procedure, a coil device is placed over the patient’s head to deliver magnetic pulses to the brain. Interested in Therapy for Depression in Bellevue? Have you decided that TMS therapy is the best course of action for you or a loved one with depression? Take the first step to. Sarah Lisanby: Hello, I'm Dr. Get TMS Therapy in Colorado at Mind Spa Denver. Expert TMS Treatment Center Serving the communities of Bellevue,. If initial results aren’t optimal, then modifications may be made. In 2016, the Clinical TMS Society published its consensus review and treatment recommendations for TMS therapy for major depressive disorder. We are able to set up a satellite office within your facility and provide. Unlike most treatment options for depression (except for talk therapy), TMS is the least invasive treatment method for depression. Transcranial Magnetic Stimulation. VA Bellevue Community Based Outpatient Clinic is a Group Practice with 1 Location. Getting started takes just one click. What is Accelerated TMS? Accelerated TMS refers to TMS therapy with a highly condensed treatment timeline. Chi Kit Gall, MD. TMS therapy can vary based on the types of coils used, the brain area stimulated, the frequency and intensity of the magnetic pulses, and theTroy. The good news is that approximately 77% of those individuals received treatment. Login. Transcranial magnetic stimulation (TMS) is a procedure to treat treatment-resistant major depressive disorder. Therapeutic. TMS Therapy is a treatment that can be performed in a psychiatrist’s office, under their supervision, using a medical device called the NeuroStar TMS Therapy system. Find similar medical centers in Bellevue on Nicelocal. Dr. I just did some quick research and the FDA did not approve of TMS as a therapy until 2008. Dr. Kaiser Permanente Bellevue Medical Center in Bellevue, WA. The alcohol and drug information school is an 8 hour course offered on Saturdays. 11695 NE 4th Street, Bellevue, WA, 98004 . Read 23 customer reviews of NeuroStim TMS Bellevue, one of the best Healthcare businesses at 1240 116th Ave NE #102, Bellevue, WA 98004 United States. Results are not always permanent, but treatment can be repeated. Featured Results . TMS is an Evidence-based Treatment for Depression and OCD. n/a Average office wait time . , Bellaire, TX 77401. Patients interested in TMS therapy will be happy to know that the treatment is non-invasive. Each TMS treatment center boasts free parking and is conveniently. Approved by the U. Dr. Some insurances will cover TMS in adolescents. TMS therapy is painless, and the therapy is typically completed in the doctor’s office or clinic.