Registration
Deposits are fully refunded if our care team determines this treatment is not a fit.
CareCredit and FSA/HSA accepted. Full Payment is due by 10/02/2026.
Ready to join us?
Review the quick self-screening checklist below to ensure a safe experience, then complete your registration.
Essential Requirements (Must meet all):
At least 21 years of age.
Can refrain from recreational substances/alcohol for 3+ days.
No history of: Hyperthyroidism, Congestive Cardiac Failure, Stroke/Cardiovascular Accident, Severe COPD, Increased Intracranial Pressure, or Psychotic disorders (e.g., schizophrenia).
Not currently pregnant or exclusively breastfeeding.
Needs Further Discussion (Contact us before paying if any apply):
Mania/Bipolar disorder, High blood pressure, Cardiovascular disease, Interstitial Cystitis, Untreated Hypothyroidism, Epilepsy, or Cancer.
Want to pay using Care Credit, FSA/HSA?
Email courtney@innerhorizonretreats.com to register. Do not use this form.
Enter billing information
I understand that my information will be used in accordance with these Terms and Conditions. This includes emails containing exclusive offers and invites to future events.
I also understand that this payment is non-refundable unless the care team determines this treatment does not meet my needs at this time. I have taken the time to review the self-screen checklist above and believe I am suitable for ketamine treatment.
We are happy to answer quick questions via email to help you determine if this retreat is a safe and aligned fit for you. Reach out to us, and we'll get back to you shortly.
For deeper, more personalized guidance, you can also book a private 30-minute video consultation with us for $80. Just email us to get started.
GeorgAnna Wiley MSN, CNM, APRN, WHNP, BSN, CPM, FMACP
rebirthsavannah@gmail.com
Courtney Terrell LMHC, LPC
courtney@innerhorizonretreats.com