top of page

Peptide Acknowledgment and Informed Consent

Please completely fill out this form before making your purchase.

Date
Month
Day
Year

By signing below, I confirm that I understand and agree to the following:

I acknowledge that I have read and agree to this consent.

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Our mission is to transform the landscape of mental health and chronic pain treatment through a compassionate fusion of cutting-edge therapies. By combining ketamine infusions, immersive virtual reality experiences, and stellate ganglion blocks, we create a deeply healing environment tailored to individuals facing treatment-resistant depression, PTSD, anxiety, fibromyalgia, and neuropathic pain. Ketamine Solace is operated by a Certified Registered Nurse Anesthetist (CRNA) under the supervision of a licensed Medical Director.

website_edited_edited.png
carecredit.png
advancecare.png
  • Facebook
  • Instagram

Texas: Plano | Richardson 

 

© 2025 by Ketamine Solace

 

bottom of page