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The patient will go through a general intake in order to access which services they need. Then we will discuss our recommendations. They will also be evaluated by a psychiatrist. For Ketamine therapy it is a little different. The patient needs to bring in a letter stating that he has been diagnosed with major depression and that the psychiatrist believes Ketamine would be beneficial. If the patient does not have a psychiatrist, our office can provide one for an evaluation. Then the patient can choose to do ketamine treatment only, or ketamine assisted psychotherapy.