Online Ketamine Clinic

Let's find out if you're a candidate.

We'll start by asking you a series of questions to determine whether you're qualified for ketamine treatment. Then, you'll be able to book an appointment for a video call with the Online Ketamine Clinic team to discuss your answers, medical history and current therapeutic needs.

87%

of our patients report improvement in depression and anxiety symptoms after completing ketamine treatments.

Question

What brings you here today? *

Select all that apply.

Please select at least one option to continue.

Question

What brings you here today? *

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You've come to the right place!

87%

of our patients report improvement in depression and anxiety symptoms after completing ketamine treatments.

Question

And what's your email address? *

Please enter a valid email address.

Question

Got it, thank you. What's your first and last name? *

First Name

Last Name

Please enter your first and last name (minimum 2 characters each).

Question

What's a good phone number for you? *

Phone

Enter only numbers — minimum 10 digits.

Question

What's your date of birth? *

Date of birth

Please enter a valid date of birth (you must be 18 or older).

Question

Where are you located? *

City

Country

Please enter your city, state and country.

Thanks for sharing your information

Unfortunately, our treatment isn't currently available in your state.

Please know that we're actively working to add new locations and will prioritize availability in your state. We're grateful for your interest in Online Ketamine Clinic and will reach out with updates as we expand to your area.

Please click submit to ensure your request for ketamine therapy in your state is recorded.

, thanks for sharing your information.

Let's keep going. The next set of questions asks about your symptoms over the past week.

Question

In the past seven days, how often did you feel: *

	Never	Rarely	Sometimes	Often	Always

Please complete every row.

Question

Are you currently taking any prescription medications? *

Please select at least one option to continue.

Question

How familiar are you with the benefits of ketamine therapy for anxiety and depression? *

Please select one option to continue.

You may have read that ketamine has been shown to be very effective in treating anxiety and depression, often producing benefits within hours.

Studies using ketamine for depression have shown more improvement than traditional anti-depressants, and with fewer lasting side effects.

Ketamine has been an FDA-approved and well-tolerated medication since 1970. It's now often used as an off-label prescription to treat mental health conditions.

"Today, I feel gratitude. I completed my last session. I am feeling better than ever. I've been able to maintain an exercise program. Overall, I am eating and sleeping better, but most importantly I don't feel like my anxiety is going to stop me from living a full life anymore." — L.

Question

When it comes to learning and personal development, do you prefer structure or do you like to choose your own path? *

Please select one option to continue.

Question

In working with your Online Ketamine Clinic team, what style do you prefer? *

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Question

Do any of the following apply to you? *

The Online Ketamine Clinic isn't a fit for everyone. If you are in a life-threatening situation, please call Suicide Prevention 1-800-273-8255, call 911, or go to the nearest ER. Responses to this form are not monitored in real-time.

Please select at least one option to continue.

Question

How did you hear about us? *

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Question

I have an event code or discount code:

Question

Is there anything else you'd like us to know?

Last step

Ok, got it. , thanks again for telling us more about you.

Please click the button below to submit your information. You'll receive an email from OnlineKetamineClinic.com with an invitation to activate your user in Osmind.org clinic platform. This will kickstart your secure medical evaluation process, ensuring confidentiality every step of the way on your mental health healing journey. We're here to support you every step of the way.

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You're all set!

Check your inbox — we just sent an email from OnlineKetamineClinic.com with your invitation to activate your user in the Osmind.org clinic platform. This will kickstart your secure medical evaluation process.