- 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 as well as go over your medical history.
Then we will take some time to educate you about the amazing journey & experiences you may have while you are on your way to a new healthy YOU!
Download All 3 PDF's to your Desktop
Informed Consent for Ketamine
Eligibility Screening for Ketamine
Hamilton Depression Rating Scale (HAM-D)
* Some of the forms we will have you physically sign during the consultation *
Fill out your contact information.
After filling out all 3 PDF's Upload each of them here.