Ketamindhealthlv@gmail.com | 702-490-9777
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Client Forms

If you are new to our clinic, please feel free to complete these intake forms prior to your consultation. These forms help us better understand your needs and ensure we provide the most personalized care. 

Contact


702-490-9777
Ketamindhealthlv@gmail.com

Las Vegas, NV

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.