Before beginning treatment, it’s important for our clinical team to understand your medical history, current symptoms, and any conditions that may impact whether ketamine is a safe and effective option for you. Our New Patient Screening helps us identify any “hard stop” contraindications and determine your next best step in the treatment process.
Many patients begin exploring ketamine after trying multiple therapies without relief. We want to ensure your experience is safe, well-supported, and tailored to your individual needs. The screening form allows us to review important information such as:
- Your primary symptoms and treatment goals
- Current medications
- Past or upcoming medical procedures
- Any history of cardiovascular issues, uncontrolled blood pressure, or other conditions that may affect eligibility
- Any safety factors that require alternative care or additional evaluation
Completing the screening is the first step in determining whether ketamine infusions are an appropriate treatment option for you. Once submitted, our clinical team will review your information and reach out with next steps. If you are a good candidate, we’ll help you schedule a consultation to discuss treatment in more detail.
If you’re ready to get started, click below to begin your screening form.
Your information is kept confidential and reviewed only by our clinical team.
New Patient Screening
Please complete the screening form. This information helps our clinical team determine whether ketamine treatment is a safe and appropriate option for you. Your responses allow us to identify any medical conditions, medications, or safety factors that may require additional review before moving forward. Once submitted, your form will be sent directly to our clinical team, and we will follow up with next steps. All information is confidential and used only to guide your care.
