Forms

 
 

 

If you are interested in becoming a new patient, please click below and download the necessary paperwork.

To make it as easy as possible, we created one document for you.  Please take your time and complete it in its entirety. 

If you would prefer secure links to the form to complete online, or have any questions, please feel reach out to us by phone, text, or email.

*The KIC form only needs to be completed if you are interested in or currently pursuing Ketamine Assisted Psychotherapy (KAP).