Simply download these forms and bring them in for your appointment.
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
Call us at 678.769.7008
Fax us at 678.426.6044
Call us to discuss if ketamine infusion therapy is right for you. If so, we'll book an appointment.
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,
Gainesville, GA 30501
2 Saturdays a month