Forms for New and Current Clients

Forms for New clients

Step 1) Look over and then print the last page of both of these forms and bring them in with you for the first session.

Office Policies

Notice of Privacy Policy

TeleMedicine Informed Consent

Step 2) Open this Intake Document, fill it out, and send it to me via e-mail. If you can’t edit PDF’s, I can simply email you the questions so you can fill them out in the email itself.

New Client Intake Form

For KAP/Psychedelic Therapy

If you are interested in Ketamine Assisted Psychotherapy, please also print these forms, sign them, take a photo of the signed pages, and email me a copy.

Ketamine Informed Consent Form

Ketamine Release of Information Journey Clinical


For Current KAP Clients

Here are the guides to help you with the experience!

Form 1: Is KAP Right For You?

Form 2: The Weeks Before

Form 3: Forming Intentions

Form 4: Managing Difficult Experiences

Form 5: For the Chaperone

Form 6: What to Expect the Day Of

Form 7: The Day Before

Form 8: The Days and Weeks After


Get started with Dr. John today!