Forms

Please review the following and bring them to your first appointment.

 Notice of Privacy Practices.


Please read through the following Notice of Privacy Practices. If you have any questions about this notice please contact us.

Notice of Privacy Practices
 

Intake Form


Please fill out the following intake form and bring it with you to your first appointment.

Intake Form
 

Ketamine Assisted Therapy Consents


Please fill out both of the following forms and bring them to your appointment.

Ketamine Assisted Therapy Informed Consent
Ketamine Informed Consent