Please complete our Pre-Registration Form Below. Participation in Group KAP requires a Medical Intake prior to finalizing Registration. We will be in touch soon to schedule a Medical Intake appointment. Name * First Name Last Name Phone * (###) ### #### Email * Select the Event you would like to register for: * Group KAP for First Responders and Medical Professionals Please describe your experience with therapy, including Ketamine Assisted Psychotherapy. Prior experience is not required. Thank you for your Contact Information! We will be in touch soon.