Patient Portal | New Patient Intake Forms
New Patient Intake Forms
Please complete these forms and review our policies prior to your first appointment at our Omaha ketamine clinic.
Forms to Complete Online
Forms to Review & Print
Please review our Treatment Consent form—we will have you sign this document upon arrival for your first appointment. The Acknowledgement of Ongoing Care form can be printed and provided to your primary care doctor or mental healthcare practitioner, to be completed and returned to our clinic.