Please download and fill out the age-appropriate forms under Registration and Self-Evaluation below. All required forms must be filled out prior to first visit. Topic-specific questionnaires are optional.
Please download and fill out the age-appropriate forms under Registration and Self-Evaluation below. All required forms must be filled out prior to first visit. Topic-specific questionnaires are optional.
Consent to Release Information-Adult
Consent to Release Information-Minor
Background & Consent for Ketamine
Required Documentation for Ketamine
Please note that we must have your past records of psychiatric treatment and completed questionnaires at your initial evaluation to assess if you meet the criteria for Ketamine treatment.