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Takes 1 minute • Any “Yes” = not eligible
Any single “Yes” means you are not a candidate.
Known allergy to ketamine/esketamine?
Uncontrolled high blood pressure or dangerous heart condition?
Active psychosis, schizophrenia, or history of hallucinations?
Currently pregnant, planning pregnancy, or breastfeeding?
History of increased intracranial pressure, brain tumor, or aneurysm?
Uncontrolled glaucoma or high eye pressure?
Active substance use (alcohol, fentanyl/opioids, ketamine misuse)?
Confidential screening
Clear
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