Kismet Ketamine is a leading ketamine clinic in Baton Rouge, LA, offering ketamine infusions for the treatment of depression, anxiety and other psychiatric disorders.

Forms to Be Completed Online

Please complete and submit the following forms:

Medical History Form

Tell us a little about your medical history so we can provide the highest level of personalized care.

Payment & Cancellation Policy

Please review and agree to our payment and cancellation policy.

Privacy Policy

Please review and acknowledge your understanding of our privacy policy.

Consent to Email & Electronic Communications

Please agree to receive communication via email and other electronic methods.

Online Payments

Please make your ketamine infusion payments online through our secured payment gateway.

Forms to Be Reviewed & Printed

Please review or print these documents, and return them to our clinic.

Acknowledgement of Ongoing Care

Please provide this form to your referring physician and have him or her return the document to our clinic prior to your first ketamine infusion.

Informed Consent to Ketamine Treatment

Please review this information. We will ask you to acknowledge your understanding of this information prior to your first ketamine infusion.