Welcome to the patient portal. On this page, you will find all the forms that we require prior to starting your journey to health and wellness. Please fill out all the forms listed below prior to your office visit.
- Payment can be added going to Pricing and Payments
- Please fill out all the forms and policies prior to your office visit
Pricing and Payments
Acknowledgement of Payment & Cancellation
Consent to Electronic Communication
Informed Consent to Ketamine Treatment
Waiver of Liability
Patient Health Questionnaire
Acknowledgement of Ongoing Care
Virginia Infusion Therapies
The First Ketamine Clinic in Northern Virginia
Virginia Infusion Therapies is one of the the first Ketamine Clinics in Northern Virginia, and the first clinic in Loudoun County to provide Ketamine infusion therapy for the treatment of Major Depression and Pain Conditions. The clinic was established by four physicians in Loudoun who, through their professional experiences in medicine and their personal family experiences with depression, recognized that there are major problems in the recognition and treatment of depression. They recognized that Major Depression, Post-Traumatic Stress Syndrome, and some pain conditions are often medical emergencies that requires treatments that are more effective… and more effective IMMEDIATELY.
Are you ready to schedule your free consultation?
Request your free 15 minute phone consultation and speak with a clinician about ketamine infusions and how we can help you live your happiest, healthiest life.