PATIENT INTAKE PORTAL
Everything you need to begin your journey is right here.
SUBMIT THE FOLLOWING FORMS ONLINE:
• Medical History Form
• Privacy Policy
• Payment & Cancellation Policy
• Consent to Electronic Communications
• Informed Consent to Ketamine Treatment
• Acknowledgement of Ongoing Care
Medical History Form
Please tell us about your medical history so we can better meet your needs. Complete the form »
Privacy Policy
Please review and agree to our privacy policy. Review the policy »
Payment & Cancellation Policy
Please review and agree to our payment & cancellation policy. Review the policy »
Consent to Electronic Communication
Please review our electronic communications policy and agree to receive communication via non-secured means. Review the policy »
Pay Online
Please pay for your ketamine infusions prior to your appointment. Pay online now »
Informed Consent to Ketamine Treatment
Please review this important information about ketamine treatments prior to your first infusion. Review the document »