What brings you to Kadelyx today? *

I’m experiencing depression

I’m experiencing anxiety

I’m experiencing ptsd

I’m experiencing chronic pain

Other

Thanks for sharing!

After completing 2 sessions, over 75% of clients report improvement in depression or anxiety symptoms.

Have you been prescribed medication for depression (currently or in the past)? *

Yes

How many medications have you tried? *

None

If you do qualify for Treatment, you will need a ride to and from our clinic, and are not permitted to drive after treatment. Can this be arranged?

Yes, I can arrange a ride to and from the clinic and acknowledge that I cannot drive myself.

No, I'm not within a commutable range of the clinic

Kadelyx is available in 3601 N 44th St, Phoenix, AZ 85018

Where can we send information about your personalized Kadelyx program? *

We do our best to make ketamine treatment as affordable as possible. Please indicate that you are open to discussing the affordability of our payment options. *

I understand that the initial consultation is free, but the treatment itself is not, and am open to exploring affordable options.

Do any of the following apply to you? *

Under 18 year old

History of schizophrenia or psychosis

None of the above

We aren't fit for certain people or conditions. If you are in a life-threatening situation, call the National Suicide Prevention Line at +1-800-273-8255, call *988, or go to the nearest emergency room.

First Name *

Last Name *

Phone *

Postal code *

Agreement *

I agree to receive text messages about my treatment and Kadelyx services. SMS message and data rates may apply. Message frequency varies. Text STOP to cancel.