Welcome to a very unique personal growth group experience. We want to make the most of our time together. To help us support you before and during your ketamine journey, please fill out the following as completely as possible. This information is confidential.
After filling out this form and securing your spot in the program with payment ($690 early-bird rate if you register prior to May 1st, and $790 after May 1st.) You'll be confirmed as "officially registered" and have a phone conversation with Keith. We will then schedule you for a 30 minute medical screening with our Psychiatric Mental Health Registered Nurse Practitioner, Anna Richards. Following a successful medical screening you will be "officially accepted" to the IFS-KAP group.
*Do not book travel until you have been medically cleared and hear back from Keith about your acceptance.
**You must arrange for a ride to/from the clinic and cannot operate a motor vehicle until the day after your treatment.
$500 of your payment will be refunded if you are not medically qualified. Effort is made to screen candidates who may not qualify medically to avoid this situation.
LOCATION: 4300 Montgomery Avenue, Suite 304, Bethesda, MD, 20814
DATES:
Friday, MAY 17, 2024: 7-8:30PM - ZOOM VIDEO
Saturday, MAY 18 2024: 9AM-3PM Ketamine-IFS Group Retreat
Thursday, MAY 24, 2024: 12-1:15pm - ZOOM VIDEO
REFUND POLICY:
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A partial tuition refund of $395 will be given if you withdraw prior to 30 calendar days before the retreat.
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Tuition is non-refundable inside of 30 days before the retreat.
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You will be asked to stay home if you have cold/flu symptoms up to 48 hours prior to the day of the program. A credit for future group will be given.