Provider Referral

This patient and I would like to initiate ketamine infusion therapy as an adjunct to the management of the above illness.I acknowledge that I may review information about this therapeutic option at www.ketamineclinicofwesttexas.com and that I may contact Ketamine Clinic of West Texas to discuss the treatment.I will follow up with this patient during and after the completion of the treatment course at Ketamine Clinic of West Texas or refer him or her to a licensed medical professional for follow-up.