Our Ketamine Screening form is the first step in determining if Ketamine Therapy may be a suitable treatment option for you. The screening form consists of a brief questionnaire designed to help us understand your medical history, current symptoms, and treatment goals.

Once you submit the screening form, our team of experienced professionals will carefully review your responses to determine if Ketamine Therapy may be a suitable treatment option for you. We may contact you via phone, email, or text message to follow up on your screening form and provide you with information regarding our services.