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Patient Portal

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.

1. Payment can be added going to Pricing and Payments

2. 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

Medical Release

Pregnancy Waiver

Privacy Policy

Medical History

Waiver of Liability

Patient Health Questionnaire

Acknowledgement of Ongoing Care