Patients are required to complete each form before starting their induction phase. To measure the effect of ketamine induction treatment, we ask patients to complete the forms again approximately 2 weeks after their final induction treatment.

Patient Information Sheet

Patient Financial Responsibility

ACE Assessment

Altman Self-Rating Mania Scale (ASRM)

The Drug Screening Test (DAST)

GAD – 7

Michigan Alcohol Screening Test (MAST)

PTSD CheckList – Civilian Version (PCL-C)

Patient Health Questionnaire (PHQ-9)

Psychosis Screening

Release of Information Request