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Please check the boxes below to indicate you DO NOT have any of the following contraindications? *

I do not have active substance abuse (Alcohol, cannabis, non-prescribed medications, etc.)

I do not have a history of psychosis

I do not have a history of increased intracranial pressure

I am not currently pregnant

I do not have uncontrolled hypertension

I do not have acute or unstable cardiovascular disease

I have not had a previous negative response to ketamine