Confidential Patient Referral Form

If you are a medical professional and you have a patient you would like to refer to the Ketamine Clinic of Hawaii, just fill out the form below and submit. We will respond to you as soon as possible. There is also a link (bottom of page) to a referral form you can download, fill out and print for increased security and confidentiality if you so choose.

Download Confidential Patient Referral Form PDF Clicking the link will give you the ability to fill out, print and/or download the referral form.

Contact the Ketamine Clinic of Hawaii

If you have questions about ketamine infusion therapy or would like to request more information about evaluation, eligibility, or treatment options, please complete the form below. A member of our clinical team will review your message and respond as appropriate. Submission of this form does not establish a physician–patient relationship.

Decades of Clinical Experience With Ketamine

Ketamine is not new to us. Long before ketamine entered broader mental health care, it was a routine and trusted medication in surgical medicine. Our physicians have used ketamine safely for decades in operating rooms, including plastic and reconstructive surgery, where precise dosing, monitoring, and patient stability are critical.

Hawaii's First Ketamine Clinic

We were the first ketamine clinic in Hawaii and among the earliest in the United States to offer ketamine therapy in a dedicated clinical setting. That history matters. Our approach is grounded in real-world medical use, not trends or experimentation. Every protocol we use today is informed by years of surgical experience, clinical judgment, and patient safety standards developed in hospital environments.

This foundation distinguishes our care. Ketamine therapy here reflects long-standing medical practice, applied carefully to modern therapeutic use.

Ketamine Clinic Hours

Monday 9:00AM – 4:30PM
Tuesday 9:00AM – 4:30PM
Wednesday 9:00AM – 4:30PM
Thursday 9:00AM – 4:30PM
Friday 9:00AM – 4:30PM
Saturday 9:00AM – 1:00PM
Sunday Closed

If your suffering from chronic pain, severe depression, PTSD or addiction and your interested in Ketamine infusion treatment, give us a call or email us!

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