Reviewed
24 hrs
Average time for our concierge clinicians to review submitted forms.
Secure
HIPAA
Forms route through HIPAA-compliant systems protected by Klarity.
Step 1
Choose your location
Select the Klarity clinic or retreat network you'll visit. We'll surface the right questionnaires next.
Step 2
Choose a questionnaire
Patient Release
Download and complete before your visit
Bring the signed release with you or upload it securely when our concierge team contacts you.
Las Vegas Clinic & Retreat
Chronic Pain & CRPS Intake
Comprehensive intake for neuropathic pain, CRPS, and chronic pain pathways in Las Vegas.
Las Vegas Clinic & Retreat
Depression & Mood Disorders
Assessment for treatment-resistant depression, anxiety, and mood stabilization protocols.
Las Vegas Clinic & Retreat
Substance Use Reset
Intake for drug and alcohol recovery programs that layer ketamine and integration teams.
Las Vegas Clinic & Retreat
NAD+ IV Optimization
Questionnaire for NAD+ IV therapy and cellular optimization within the Las Vegas campus.
Patient Release
Download and complete before your visit
Bring the signed release with you or upload it securely when our concierge team contacts you.
Southern California Clinics
Chronic Pain & CRPS Intake
Evaluation for chronic pain and CRPS patients across Southern California clinics.
Southern California Clinics
Depression & Mood Disorders
Assessment for treatment-resistant depression, anxiety, and autonomic reset programs.
Southern California Clinics
Substance Use Reset
Intake for drug and alcohol recovery programs in the Southern California network.
Southern California Clinics
NAD+ IV Optimization
Questionnaire for NAD+ IV therapy, longevity, and metabolic optimization.
Need help choosing a form?
Call or text (844) 552-7489. Our concierge team can walk you through which questionnaire is right for you and coordinate next steps with our clinicians.