Patient Portal

Patient Forms

Thank you for making an appointment with Invictus Clinic. Please print and fill out the forms associated with the treatment you are receiving. This will help in expediting your appointment experience.

Mental Health Forms

Ketamine Patient Intake Form

Medical History Form

Beck Depression Inventory

Beck Anxiety Inventory

PTSD Inventory

Medical Records Release Form

Consent for Electronic Communication

Patient Referral Form – You will need a referral from your psychiatric or primary care provider OR a copy of your medical records showing a pre-existing diagnosis for one of the many symptoms we treat

Notice of Privacy Practices

Pain Disorder Forms

Ketamine Patient Intake Form

Medical History Form

Neuropathic Pain Assessment

Medical Records Release Form

Consent for Electronic Communication

Patient Referral Form – You will need a referral from your pain management or primary care provider OR a copy of your medical records showing a pre-existing diagnosis for one of the many pain disorders we treat

Notice of Privacy Practices

IV Hydration Therapy Forms

Hydration Patient Intake Form

IV Nutrition Medical History Form

Medical Records Release Form

Consent for Electronic Communication

Notice of Privacy Practices

The Invictus Clinic offers advanced mental health and wellness treatments, specializing in ketamine therapy, IV vitamin therapy, and more. Our mission is to provide personalized care and innovative solutions for individuals struggling with treatment-resistant conditions like depression, anxiety, chronic pain, and PTSD.

770-580-1042

1545 Powers Ferry Rd Suite #120, Marietta, GA 30067

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Patient Portal

Patient Forms

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