Patient Forms

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Welcome to Freedom Ketamine Treatment Centers

Welcome to Freedom Ketamine Treatment Centers. We are a leading provider of ketamine infusions in and around the Washington D.C. metro area. Ketamine infusions are an innovative and highly-effective treatment for depression, anxiety, PTSD and other psychiatric disorders, as well as for a variety of chronic pain conditions. Our Rockville, MD and Reston, VA ketamine offices providers of ketamine for depression, PTSD, anxiety, chronic pain and more.

Step 1: Registration & Ketamine Infusion Treatment Consent

Patient Consent Form

STEP 1 – REGISTRATION AND KETAMINE INFUSION TREATMENT CONSENT For new patients only.

Please check the boxes to acknowledge your understanding and consent of and to the following:

Please check the boxes to acknowledge your understanding and consent of and to the following:

Thank you for submitting!

Step 2: Complete New Patient Intake Paperwork and Bring it to your Appointment

Step 3: Complete Health Questionnaire