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Saturday and Sunday - CLOSED

432-352-2865

info@ketamineclinicofwesttexas.com

5105 Sunmore Circle Suite A

Midland TX 79707

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Provider Referral

Provider Referrals

Please fill out the form below and a member of our staff will get back to you as soon as possible.

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.
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