top of page
Patientsigningconsent_ketamine_psychedleics

New Patient Forms

Submit An Intake Form To Get Started

Once you submit an intake form a Reverie Team Member will contact you and provide you with an overview of our services and ensure all of your questions are answered. Once complete, you will be asked to complete the medical history and other required forms located below. 

Welcome Packet

Our welcome packet provides an overview of our services and what you can expect.

Medical History

Please complete our detailed Medical History form here.

Telehealth Consent Form

Please review our Telehealth consent forms here.

bottom of page