Request a Free Consultation

Please fill out the following form with as much information as possible to request a free Ketamine consultation. A NeuroMend representative will contact you within 48 business hours to confirm your requested date and time.

Please note that your appointment is not confirmed until you hear from a representative of NeuroMend confirming as such. If you are requesting an appointment sooner than 48 hours from this time, please call us at (877) 998-2002 instead of submitting this form.