Patient Intake Forms
Here you’ll find the series of forms, policies and waivers you need to review and acknowledge prior to receiving ketamine infusions. Please download and/or print and complete these forms, and return them to us at your initial consultation or first scheduled appointment.
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8000 Corporate Center Drive, Ste 212
Charlotte, NC 28226
M-W-F: 9am-5pm
T-TH: 11am-7pm
Saturdays and Sundays: Closed
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How can we restore you to your best self?
Our physicians are happy to answer any questions you may have about ketamine for depression or chronic pain, IV hydration therapy, or any of our restorative mind-body wellness services. We'll help you get on the right path towards holistic health and whole-body wellness.