Our Forms

 

Save Time

Simply download these forms and bring them in for your appointment.

Georgia Renew Clinic Policy

Georgia Ketamine Renew MEDICAL RELEASE FORM

Georgia Ketamine Renew NEW PATIENT INTAKE

Georgia Ketamine Renew PATIENT DISCHARGE FORM

For Your Referring Physician

Please have your provider fill this out and fax back to 678-426-6044

Patient Referral Form

Call us at 678.769.7008

Fax us at 678.426.6044

Appointment

Call us to discuss if ketamine infusion therapy is right for you. If so, we'll book an appointment.

Consultation

We'll begin with a full consultation and discuss your needs and various protocols. Click or call us today.

 

Georgia Renew Clinic Location

 

1370 Thompson Bridge Road,

 

Suite 101

 

Gainesville, GA 30501

 

Phone

 

678.769.7008

Hours

The office will be closed the week of 6/16/25-6/23/25

Tues- Friday
1 Saturday a month

 

 

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