Please fill out the following information and email us before your first treatment.
Our email: support@ketaminehaven.com
I certify that the above information is true and accurate. I authorize the release of any medical or other information necessary to process a claim or continue medical treatment. I acknowledge that I am responsible for the payment of my treatment.
If you have any questions, don't hesitate to call our clinic.
Ketamine Haven Clinic
(818) 817-6542
support@ketaminehaven.com