Refer a Patient
To refer a patient, please fill out the form on this page. All information is confidential. This website operates on a secure server (SSL protected) and has sitelock web security so all information you provide is encrypted, HIPAA compliant, and safe. We never share your information with 3rd parties. You may also contact us via phone Monday – Friday 9:00am – 5:00pm.
Phone: 844-948-6337 | Fax: 844-633-2390
Ketamine Centers of Chicago 712 N. Dearborn St., Chicago, IL 60654