Patient Portal

FORMS

Forms to Complete Prior to Your Visit

Our team is committed to providing exceptional care and it is our top priority to create a calm, comfortable, and safe environment for every individual. Please complete these forms and review our policies prior to your first appointment at our KureIV clinic. Contact us if you have any questions or concerns.

New Patient
Health Screening Form
Cancellation
Policy
Privacy
Policy
Treatment
Consent
Consent To
Electronic Communication
Consent For
Medical Treatment

Take The First Step

Take The First Step

Explore The Benefits of This Innovative New Treatment Option

Fill out this form to schedule a free phone consultation with one of our ketamine infusion therapy experts.

Preferred Contact Method*
I am interested in*