This will be an initial phone-evaluation appointment. Prior to your first in-office appointment, we will perform a medical history review. We will electronically send history forms as well as a general medical release so we may consult with your physician or psychiatrist, if needed. We will review your information and determine if you meet established criteria for ketamine infusions and are a good candidate to proceed with ketamine treatment. After the initial review is complete, we will contact you to schedule an initial in-office evaluation which includes a physical assessment and blood draw for specific lab testing. If our team finds that you are a candidate for ketamine infusions, we will contact you again to schedule six induction infusions. Ideally these will fall within a two-week period.
Unfortunately, ketamine infusions are not covered by insurance carriers yet. Until this happens, ketamine treatments are considered an out- of-pocket expense. You may be able to recover some out-of-pocket expenses if you provide your insurance company with a superbill for reimbursement. We facilitate this process by providing you with a detailed superbill (insurance receipt) and you can use the Osmind app to submit for reimbursement. Each patient is responsible for submitting these claims either via Osmind or by completing their own insurance company reimbursement forms.
Payment for the infusions can be made at each of the 6 appointments or up front for the entire series. The cost of each infusion is $350.
- Infusion cost includes every aspect of treatment, no added costs.
- We provide a detailed invoice (“superbill”) for submission to your insurance for plan approved reimbursement.
- We accept all major credit cards and cash. No checks accepted.
At your initial in-office evaluation, we will go over your medications and prepare you for which medications you should take and/or “hold” on your infusion days. Some medications can interfere with ketamine. Follow these instructions and please call if you need any clarification. We will review the process and go through a preparatory session. During this time, we will get you acclimated to the infusion room, make sure WiFi is set up on your phone/iPad and go over how to best prepare for the infusions. We will also review your current involvement in therapy an ensure that you have sessions lined up and are with a therapist who can provide you with suitable guidance through this process.
On infusion days:
- Please do not eat food or drink anything that has milk in it at least 6 hours prior to your scheduled time. You may drink clear liquids (i.e. water) up to 2 hours prior to your infusion. If you are diabetic, you will have specialized instructions. Some people find that good hydration and “clean” eating (minimal processed foods) several days prior to the ketamine infusion helps improve well-being during the process.
- Please avoid caffeine/nicotine (cigarette/vape) 4 hours prior to your scheduled time.
- Please bring a bag with your necessary items – i.e. headset, eye shades, neck roll, particular blanket, journal for note taking, water bottle, etc. We have all of these supplies in the room for “back-up” should you forget.
- You will not have any activity restrictions immediately after the treatment, except…….. NO DRIVING! There are no exceptions to this rule.
Although the clinical application of IV ketamine for mental health issues is not the same as receiving anesthesia, please remember that we are prepared to provide 1:1 care for you with the same high safety standards. The anesthetist giving your IV ketamine is board certified, licensed and highly qualified to manage any situation that may arise during your infusion. Everyone in the office is trained to manage an office-based emergency, should one arise. The ketamine infusion room has emergency equipment and medications, and is just down the hall from a main surgical operating room, should a higher level of care be needed prior to the arrival of emergency transport to the hospital. The medical director has admitting privileges at the Level 2 hospital located 2 miles from the surgery center.
We place a very high value on trust and are prepared to give you exceptional care.
We ask that you follow our guidance and prepare with the same level of diligence.
Allow yourself 2 hours for the ketamine infusion. Your treatment will start in a quiet, private room that allows you to be free from interruption or exposed to external stimulation. At your first treatment visit, we will again go over the treatment plan and goals, review the risks and benefits of the procedure, and answer any further questions you may have. We will assess your vital signs and then start your IV.
Once the IV has started, your perceptions will change and your sense of your body may alter. You will be with a board-certified registered nurse anesthesiologist while you undergo your infusion. You will not be alone. You will be monitored through the experience. We will seek to maximize the benefits of the inner experience, while at the same time ensure that you are safe.
The ketamine infusion is administered over 40-60 minutes. We have eye shades to minimize external visual input, if you choose. Free Wi-fi, snacks/drinks, and seating are available for loved ones who accompany you.
After the ketamine infusion, plan to rest about 30 minutes post treatment.
For those who respond to Ketamine, the effect is usually noticed within the first few hours of receiving the first IV treatment. 6 treatments are typically done in a two-week time period. After the initial infusions, a booster treatment may be necessary 2-3 weeks later, and then every 1-3 months, as needed. It is normal to feel tired the day of treatment, so no driving or operating heavy equipment for the remainder of the day. You’ll need a friend or family member to drive you home.
We expect that you will be able to eat normally, but use common sense. Stick with foods that are good for you. Avoid alcohol. Take your normally scheduled medicines.
We encourage you to express your experience in the form of journaling, artwork, or other creative means of processing.