KETAMINE INFUSION PRE-SCREENING & INTAKE FORMS
Prior to beginning your ketamine infusions, it is important for us to understand and evaluate your level of depression and/or anxiety. This helps us identify any other conditions that may complicate your treatments, or render them ineffective.
Please review our Privacy Practices and complete the following forms prior to your first treatment:
Acknowledgement of Ongoing Care (to be completed by a referring physician or mental healthcare provider)