Forms & Privacy Policy


If you have been struggling with severe depression but have found little relief with other treatments, ketamine infusions may help. Please visit our FAQ page to learn more.



Please note: we cannot begin any treatments until these forms are submitted. To make an appointment, please call (781) 538-6555. ´╗┐Our patient liaison can provide a fax number or mailing address to use for submission of these forms.


Patient Questionnaire

Clinician Referral Form

Privacy Policy

Boston MindCare will not disclose any information provided by patients without written permission except in cases of potential serious harm to self or others. All information provided by patients is used to individualize care and to provide the best medical treatment possible.


Boston MindCare, PC
271 Lincoln Street, Suite 5
Lexington, MA 02421
Phone: 781-207-9841
Fax: 866-790-8047
Office Hours

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