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Patient Policies

Patient Policies

Payment and Cancellations

In order to fairly and effectively serve patients who wish to receive treatment, the following cancellation policy has been implemented. By your signature below, you acknowledge and agree to the following cancellation policy:

Ketamine infusions must be cancelled at least 72 business hours in advance in order to receive a full refund. Infusions cancelled less than 72 business hours in advance will incur a $150 fee, charged to your credit card on file. Our business hours are Monday through Friday, 9:00 am to 5:00 pm.

Nutrition infusions must be cancelled at least 24 business hours in advance. Appointments not cancelled at least 24 business hours in advance will incur a $50 fee, charged to your credit card on file.

To review the full payment and cancellation policy, please refer to the link below.

Payment/Cancellation Policy

Patient Policies

Pregnancy Policy

Receiving ketamine and/or other drugs during pregnancy may be harmful to a developing fetus. It is the policy of Revival Infusion Madison that women who are pregnant or breastfeeding, or who may be pregnant, should not undergo IV ketamine infusions.

For the full policy on pregnancy and infusions, please see the link below.

Pregnancy Policy

Patient Policies

Patient Privacy Practices

To review Revival Infusion Madison's full policy regarding patient privacy, please refer to the link below.

Privacy Policy