Find Out If You are a Candidate for Ketamine Treatment Do you suffer from depression? YesNo Have you been diagnosed with any of the following: Major Depression, PTSD, OCD, Anxiety, Bipolar Disorder? YesNo Do you have chronic pain? YesNo Have you been diagnosed with any of the following pain syndromes: Reflex Sympathetic Dystrophy (RSD), Chronic Regional Pain Syndrome (CRPS), Neuropathic Pain, Trigeminal Neuralgia, TMJ syndrome, chronic back/musculoskeletal pain? YesNo Have you been resistant to standard therapies, or intolerant of their side effects? YesNo Name (required) Email (required) Phone (required)
