New Patient Forms

WELCOME

We are happy that you have made the decision to allow us to help you with your journey. As a part of our intake process, we ask that all new patients complete the forms below that are relevant to your treatment:

KETAMINE PATIENTS

PLEASE COMPLETE THE FOLLOWING FORMS:

PATIENT INTAKE FORM

GENERALIZED ANXIETY DISORDER ASSESSMENT

DSM-5 PTSD Checklist

Patient Health Questionnaire-9 (PHQ-9)

CONSENT FOR TREATMENT

HYDRATION PATIENTS

PLEASE COMPLETE THE FOLLOWING FORMS:

PATIENT INTAKE FORM

CONSENT FOR TREATMENT