Online Forms
Complete your paperwork from home.
At The Ketamine Clinic, we offer patient forms online so you can complete them in the convenience of your own home or office.
Ketamine Therapy Intake Form
Tell us about your medical history, current medications, and treatment goals before your first visit.
Ketamine Therapy Disclaimer Form
Important information about ketamine therapy that we ask every patient to review and sign.
Ketamine Therapy Consent Form
Informed consent for treatment — please read carefully, sign, and bring with you.
These forms are PDF files. If you don't have Adobe Reader installed, click here to download it free . Please bring your completed forms with you to your appointment, or email them ahead of time to info@theketamineclinicllc.com.
Ready to feel like yourself again?
Speak with our team about whether ketamine therapy is right for you. Most patients are seen within days.