iFusion Aesthetics & iV Bar
iFusion Aesthetics & iV Bar
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    • iFusion
    • The Science
    • Meet our Team
  • IV Therapy
    • IV Vitamins & Hydration
    • IV Vitamin Add On's
    • IV CBD infusion
    • IV Ozone Therapy
    • NAD+ Therapy
    • High Dose Vitamin C
    • Vitamin Booster Injection
  • Ketamine
    • Ketamine Therapy
    • KAP
    • The science of Ketamine
    • Ketamine infusion process
    • Anxiety
    • Depression
    • OCD
    • PTSD
    • Substance Use Disorders
    • Ketamine Therapy Referral
    • OSMIND Mood Monitor
    • Educational Videos
  • More
    • Home
    • About
      • iFusion
      • The Science
      • Meet our Team
    • IV Therapy
      • IV Vitamins & Hydration
      • IV Vitamin Add On's
      • IV CBD infusion
      • IV Ozone Therapy
      • NAD+ Therapy
      • High Dose Vitamin C
      • Vitamin Booster Injection
    • Ketamine
      • Ketamine Therapy
      • KAP
      • The science of Ketamine
      • Ketamine infusion process
      • Anxiety
      • Depression
      • OCD
      • PTSD
      • Substance Use Disorders
      • Ketamine Therapy Referral
      • OSMIND Mood Monitor
      • Educational Videos
  • Home
  • About
    • iFusion
    • The Science
    • Meet our Team
  • IV Therapy
    • IV Vitamins & Hydration
    • IV Vitamin Add On's
    • IV CBD infusion
    • IV Ozone Therapy
    • NAD+ Therapy
    • High Dose Vitamin C
    • Vitamin Booster Injection
  • Ketamine
    • Ketamine Therapy
    • KAP
    • The science of Ketamine
    • Ketamine infusion process
    • Anxiety
    • Depression
    • OCD
    • PTSD
    • Substance Use Disorders
    • Ketamine Therapy Referral
    • OSMIND Mood Monitor
    • Educational Videos

CLINICIAN REFERRAL IV Ketamine Therapy

Schedule Consult

Thank you for your interest in IV Ketamine Infusion Therapy. For iFusion Wellness and Ketamine Center to provide you with a safe and beneficial therapy, we require a Clinician Referral form and Medical History form (below) to be downloaded and sent back to iFusion Wellness and Ketamine Center. These forms must be sent to us either by e-mail, from clinician's office, to todd@ifusiondallas.com or faxed to (972) 863-7997. Once we have received these forms we will reach out to you and set up a consultation. If you have any questions please don’t hesitate to contact us at (214) 205-1145.

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Forms

iFuson Ketamine Center Referral Form (pdf)

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*The statements made and printed on this website have not been evaluated by the Food and Drug Administration and iFusion products and equipment are not represented to diagnose, treat, cure or prevent any disease or medical problem. Copyright © 2025 iFusion Wellness and iV Bar - All Rights Reserved.

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