ISHA HEALTH PATIENT REFERRAL PROCESS

If you are a clinician and have a patient who you would like to refer to Isha Health for ketamine treatment, please fill out the forms, upload them here through our secure HIPAA-compliant uploader, and direct your patient to our website to book their initial evaluation.
Upon confirmation of the booking of the initial evaluation, we will reach out to you to coordinate a time to discuss the care of your patient.

Please note at this time we are only treating patients who live in AZ, CA, CO, FL, OR, NY and WA.

How It Works

Step 1

Please download this referral form and fill it out.

DOWNLOAD THE REFERRAL FORM

Step 2

Please download this release of information form and have your patient complete it.

DOWNLOAD THE RELEASE FORM

Step 3

Please upload both of the forms through this secure uploader.

UPLOAD YOUR FORMS

Step 4

Direct your patient to our website(https://www.isha.health) to book the initial evaluation with us.

Step 5

Upon confirmation of the booking of the initial evaluation, we will get in touch with you to arrange a time to discuss the treatment plan for the patient.