Start Your Wellness Journey

Take the first toward reclaiming your life by completing the form below. A Reverie Mind team member will connect with you shortly.

INFORMED Intake Questionnaire

Patient Details
Clinical Referral

Refer a Patient

Help patients with persistent issues find long-lasting relief with help from a Reverie Mind supplemental care plan. We assist primary care providers by offering ketamine therapy, general psychiatry, medication management, opioid agonist therapy, and clinical research.

Refer a patient today, and together, we’ll find enduring solutions.

Conditions We Treat

Conditions We Treat

Post-Traumatic Stress Disorder (PTSD)
Generalized anxiety disorder
Mental health and mood disorders
Chronic pain, including that caused by cancer
Complex Regional Pain Syndrome (CRPS)
New Daily Persistent Headaches (NDPH)
Opioid addiction

Clinical Referral Form

Our Reverie Mind medical team looks forward to learning more about your patient and the treatments you’ve tried.

Patient Details

I am referring the patient for consultation and evaluation for IV ketamine infusion therapy. I acknowledge that I may review information about this therapeutic option at and/or contact you at (480) 590-0092 to discuss the treatment protocol.

Referring Clinician Details
Clear Signature

Break Free

Go beyond ketamine to find the lasting relief you deserve.

(480) 590-0092