PATIENT PORTAL

Everything you need to begin your journey towards health and wellness is right here.

Medical History Form

Tell us a bit about your medical history so we can better serve you.

Privacy Policy

Review and agree to our ketamine clinic’s Privacy Policy prior to your first infusion.

Payment & Cancellation Policy

Please review and agree to our Payment & Cancellation Policy

Consent to Electronic Communication

Please agree to receive communication via email and text.

Informed Consent to Ketamine Infusions

Please familiarize yourself with important information about receiving ketamine infusions.

Acknowledgement of Ongoing Care

Please provide your primary or mental healthcare provider with this form, to be completed and returned to our clinic prior to your first ketamine infusion.

Vitamindrip® Patient Intake Form

Prior to your first IV hydration infusion, please print and complete this form, and bring it with you to your consultation or appointment.