• Home
  • Our Process
    • Who We Are
  • Our Services
    • Ketamine
    • Spravato
  • For Patients
    • Scheduling
    • Pricing
    • Blog
  • Conditions Treated
    • Anxiety
    • Chronic Pain
    • Depression
  • For Providers
  • Schedule a Consultation

Patient Forms

Acknowledgement of Ongoing Care and ROI
Spravato With Me — Program Enrollment Form
Combined Consent Forms

Once these forms are submitted, we will begin your prior authorization with your insurance company

osmind logo

Emerge Ketamine uses Osmind

The most advanced electronic medical record system designed specifically for ketamine infusion practices.

Get Started With Osmind

Already a User?

Osmind Login
  • Facebook
  • RSS
Designed by Ketamine Consulting