Rebuilding Lives
With Ketamine.
1- New Patients
Complete the Contact us form to get started.
2- Next Steps
Fill out the Intake and Consent Forms.
3- Insurance?
Use our File Upload Form to submit a copy of your insurance card and identification.
Additional Administrative Forms
If you want Klarisana to share your treatment records with outside professionals:
Release of Information – Medical Providers
If you want Klarisana to share scheduling, treatment and financial information with your family & friends:
Release of Information – Family & Friends