Please fill out the following form with as much information as possible to request a free Ketamine consultation. A Northern Michigan Ketamine and Wellness representative will contact you within 48 business hours to confirm your requested date and time.
Please note that your appointment is not confirmed until you hear from a representative of Northern Michigan Ketamine and Wellness confirming as such. If you are requesting an appointment sooner than 48 hours from this time, please call us at (989) 350-9155 instead of submitting this form.
*If you are actively contemplating suicide proceed to the nearest emergency room rather than submitting this form. The National Suicide Prevention Hotline can be reached at 1-800-273-8255, 24 hours a day
Please complete this form.