Ketamine Therapy Self-Assessment See if ketamine treatment might be right for you.

This brief, anonymous screener will help you explore whether ketamine therapy could be a fit for your current needs. Your responses are not shared and won’t affect your eligibility—they just help us get you to the right next step.

Ketamine Care SelfCheck

Ketamine Pre-screening questionnaire

This brief, anonymous screener will help you explore which of our services might be the best fit right now—whether that’s ketamine treatment, recovery support, or a combined approach. There’s no commitment, and your answers won’t disqualify you from care. We understand that many people come to us with layered, complex histories. If you’re not sure where you belong, you’re in the right place.
What are you currently seeking relief from ? (Check all that apply)
Do you currently struggle with substances or behaviors to manage emotions or stress?

This question helps us understand your health history so we can keep you safe. Your answers will not automatically exclude you from receiving care.

We work with many people who have complex histories — and your honesty helps us make sure you’re matched with the right next step. If needed, we’ll offer you a chance to schedule a quick chat.

Have you been diagnosed with any of the following?(Required)
What medications are you currently taking?(Required)
What best describes where you are right now?
What services are you open to?
How did you hear about us?
This field is for validation purposes and should be left unchanged.