Video Meeting with Dr. David Mahjoubi
Important Notice Regarding Your Video MeetingPlease note: This video meeting is conducted solely to determine eligibility for a ketamine prescription refill or other stated purpose and does not constitute a full medical consultation or diagnosis. It is not a substitute for an in-person medical evaluation, physical examination, or emergency care.If you are feeling unwell, are experiencing a medical or psychiatric emergency, or are having thoughts of self-harm, do not proceed with this form or meeting. Instead, call 911 or go to the nearest emergency room immediately.
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I understand the cost for the gammaCore device or prescription Ketamine is seperate from this consultation fee, and wish to proceed.
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You understand that you must inform your psychologist, therapist, or psychiatrist, if you have one, of our meeting and any therapy initiated by Dr. David Mahjoubi.
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Video/Phone Meeting with Dr. David Mahjoubi
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