Intake Documents

Below are our intake documents for Ketamine-Assisted Therapy (KAP). These documents help us understand your needs, history, and goals so we can create a personalized treatment plan tailored to you.

Intake Documents

CLIENT HISTORY FORM

Important background information about your mental health, medical history, and personal experiences. This helps your therapist better understand your unique situation, identify patterns, and tailor a treatment plan that aligns with your needs and goals.

POST-KAP MEDICAL SESSION AFTER CARE & CONSENT

The Aftercare and Post-Session Consent form outlines the steps and recommendations for your care following a Ketamine-Assisted Therapy session. It ensures you understand how to safely integrate your experience, including self-care practices and follow-up support.

SUBSTANCE USE & SOBRIETY AGREEMENT

This agreement sets clear guidelines around the use of substances before, during, and after Ketamine-Assisted Therapy sessions. It ensures your safety and maximizes the therapeutic benefits by promoting a focused and substance-free environment.

INFORMED CONSENT FOR TREATMENT

The Informed Consent for Treatment form ensures you understand the purpose, process, and potential risks and benefits of Ketamine-Assisted Therapy. It provides important details about the treatment, so you can make an informed decision about participating.

CONFIDENTIALITY & HIPAA CONSENT

The Confidentiality & HIPAA Consent for Treatment form explains how your personal information will be protected during Ketamine-Assisted Therapy. It ensures you understand your rights regarding privacy and how your data will be used or shared in accordance with HIPAA regulations.