Questions for Your Provider

Credentials & oversight

• Who prescribes? What's their training and board certification?
• Who monitors during the session? What's their medical credential?
• Is an MD or DO physically present? Reachable for emergencies?
• What's your protocol if my blood pressure spikes mid-infusion?
• Are you a Spravato-certified REMS site, or do you use racemic only?

Screening

• What does your medical and psychiatric intake include?
• Do you require records from my prescriber and therapist?
• What conditions would disqualify me, and why?
• How do you screen for cardiovascular and substance use risk?

Protocol & dosing

• What route do you use, and why for my case?
• What's a typical induction series, and what determines my schedule?
• How do you decide on dose changes?
• What outcome measures do you track (PHQ-9, GAD-7, C-SSRS)?

Integration & coordination

• Do you provide integration support, or coordinate with my therapist?
• Will you communicate with my psychiatrist and primary care?
• What happens between sessions if I'm struggling?

Cost & commercial

• What's the full cost, including all add-ons?
• Do you offer payment plans? Sliding scale?
• What happens if I stop responding — do I keep paying?
• Are you affiliated with the lab/pharmacy I'd use? Disclose conflicts.

Safety culture

• What's your worst clinical outcome to date, and what did you change?
• How do you handle adverse reactions during a session?
• What's your discharge criteria after a session?
• Who do I call after hours?