PATIENT PORTAL

Your personal journey towards health and wellness starts here. Everything you need to begin receiving ketamine treatments is available in our patient portal.

FORMS TO BE COMPLETED & SUBMITTED ONLINE

Below are a series of forms and policies that can be completed or reviewed and submitted online, saving you time at our ketamine clinic upon your first visit.

Medical History

Tell us about your medical history so we can more effectively treat your symptoms.

Privacy Policy

Review and agree to our Privacy Policy and learn your rights

Cancellation Policy

Review and agree to our ketamine clinic’s Cancellation Policy

Electronic Communications Policy

Agree to receive communication electronically via email and text

Online Payments

Pay for your ketamine infusion therapy online, prior to your appointment

FORMS TO BE PRINTED, COMPLETED & RETURNED TO OUR CLINIC

Please review our ketamine infusion consent form, and have your primary care physician or mental healthcare provider complete the Acknowledgement of Ongoing Care form.

Treatment Consent

Review our Treatment Consent policy and learn more about our ketamine infusion policies

Print the Document

Download and print this document, and provide it to your primary care physician or mental healthcare provider