- Ketamine Clinic Forms -
In order for Promise Medical to administer Ketamine Muscle Injections (KMI) we need to gather some health background information from you. After the documentation is completed we will have a consultation visit for a physical screening and to review your medical history.
Download All 3 PDF's to your Desktop
Informed Consent for Ketamine
Eligibility Screening for Ketamine
Hamilton Depression Rating Scale (HAM-D)
Fill out your contact information.
After filling out all 3 PDF's Upload each of them here.