Patient resources
What to bring, what to expect.
This page collects the forms, assessments, discount documents, and clinical citations we send to patients. Most intake forms are emailed by our team once your visit is scheduled, the rest are downloadable below. Call (812) 913-4416 if you need something specific.
Intake forms
Before your first visit
For new patients we run through an intake tailored to the program you are coming in for. Ketamine, neurological, regenerative, weight loss, and osteoarthritis all have dedicated forms. The fastest path is to call ahead. Our team will email the exact form set for your case.
Stroke and TBI lab order
The signed self-pay laboratory order form Dr. Cruz uses for new neurological patients. Includes the CMP, CBC, lipid, thyroid, vitamin D, magnesium RBC, homocysteine, and tick-panel options.
Ketamine intake
Mental health history, medication trials, and risk screening used before your first IV ketamine consult. Sent by our team once the consult is scheduled.
Neurological intake
For stroke, TBI, Parkinson's, and other neurological cases. Focuses on imaging history and functional status.
Osteoarthritis and regenerative intake
Used before PRP, hyaluronic gel, Prolozone, and personal stem cell therapy consults. Joint-focused history.
Weight loss intake
Metabolic history, prior weight-loss attempts, and medication tolerance. Required for HCG and Semaglutide programs.
Self-assessments
Questionnaires we use in clinic
Below are the assessment tools we commonly use. The SF-36 is sent on request before neurological and regenerative consults so we have a measurable baseline. Other screens are administered in clinic.
SF-36 Health Survey
A validated 36-question survey covering physical function, role limitations, pain, general health, vitality, and mental health. Used in our neurological and regenerative programs to track change over time.
Patient Depression Screening (PHQ-style)
Brief depression screening administered at every ketamine and mental health intake to track response across an infusion series.
PTSD screening tool
Standard PTSD screening used in ketamine and mental health evaluations, with appropriate clinical follow-up.
Anxiety screening tool
Short-form anxiety screening used in mental health and integrative consults.
Specials
Discount programs and offers
Current promotional documents that patients can download and bring to a consultation. The Bone Marrow Aspirate (BMA) discount days are scheduled throughout the year. Call for the next available date.
BMA Bone Marrow Discount Days flyer
Bone Marrow Aspirate discount-day pricing. First joint $6,000 (normally $10,000), second joint $3,000 (normally $10,000). Total potential savings $11,150.
BMA Patient Brochure
The clinical patient brochure for the Bone Marrow Aspirate program. Eligibility, what to expect, recovery profile, and the painless harvesting process.
Self-pay lab testing rates
How patients have used our affordable self-pay lab testing. Recorded patient testimony.
Clinical citations
The research behind our protocols
We do not publish anything on this site that is not rooted in published research or three decades of direct patient work. The PDFs and articles below are the documents we send patients who ask, why this protocol.
TACT trial explainer (Chelation, JAMA 2013)
The patient-facing explainer of the NIH-funded TACT trial. 1,708 patients, 41% reduction in major cardiovascular events in diabetics, led by Harvard cardiologist Dr. Gervasio Lamas, MD.
Circulation, AHA chelation paper (highlighted)
The full peer-reviewed Circulation paper from the American Heart Association on chelation outcomes, with the cardiovascular endpoints highlighted for patient reading.
Plaquex Therapy 2019 clinical slides
The full clinical slide deck on IV Plaquex therapy. 126 cited studies, 8,334 patients including a phase-IV multi-center series of 2,862 patients.
Cardiac wellness screening prescription
The free heart and blood-vessel wellness screening prescription Dr. Cruz writes for new cardiovascular patients. Includes the four-test package and the lab order codes.
Perispinal Etanercept article (Tobinick lineage)
Background on Perispinal Etanercept, the Tobinick patient series, and how Dr. Cruz uses the protocol in Louisville. Linked to the related blog post.
TACT trial blog explainer
A plain-language explainer of the TACT trial and what it means for patients considering IV chelation in Louisville.
Stellate Ganglion Block (SGB) for PTSD and Long COVID
How KIM's proprietary Photo-Energized PRP enhancement of the Stellate Ganglion Block changes the risk profile and the duration of relief.
Answers
Frequently asked questions
Our FAQ page addresses the questions we hear most. Insurance, Medicare coverage, ketamine specifics, regenerative protocols, telehealth, and more.
Read the FAQ
The questions patients ask before their first visit, answered plainly.
Begin
We treat what others have given up on.
Call for a consultation. Tell us what you've tried, what hasn't worked, and what a better year looks like. We'll tell you, plainly, whether we can help.
405 E. Court Ave., Ste 102, Jeffersonville, IN 47130 · Mon–Fri · 9 AM – 5 PM