If you’re partway through Spravato or IV ketamine treatment and need to change clinics, whether your clinic is closing, you’ve moved, your insurance changed, or it simply isn’t the right fit anymore, the most important thing to know is this: transferring care is a normal, manageable process, and your progress doesn’t disappear when your provider changes. What matters most is moving quickly, getting the right records, and avoiding a long gap between treatments.
Here’s how the process works, step by step.
Step 1: Don’t Wait Until Your Last Session
The best time to start a transfer is as soon as you know a change is coming, not after your final appointment. Both Spravato and IV ketamine treatment work best on a consistent schedule, and a long, unplanned gap can make it harder to maintain the progress you’ve made. Starting early gives your new clinic time to complete an evaluation, verify insurance, and get you scheduled before your next treatment would normally be due.
If you’re currently on a maintenance schedule, don’t stop treatment abruptly or skip sessions on your own while you sort out the transfer. Talk with your current provider about timing, and let your new clinic know exactly when your last treatment was and when the next one would be due.
Step 2: Request Your Records
You have a legal right to a copy of your medical records, and a complete set makes your transfer faster and safer. Ask your current clinic for:
Your psychiatric evaluation and diagnosis Your full treatment history, including session dates and how often you’ve been treated Dosing information for each session Any symptom tracking or progress scores recorded during treatment Notes on side effects or reactions during treatment A current list of all medications you take Your insurance authorization details, if Spravato was covered
Your new clinic can often request these directly with your signed authorization, but it’s a good idea to request your own copy as well, especially if your current clinic is closing and records may become harder to reach later.
Step 3: Understand How Spravato’s REMS Program Affects a Transfer
Spravato is only available through a federal safety program called the Spravato REMS, which requires that every dose be given in a certified healthcare setting, under direct observation, with at least two hours of monitoring afterward. That means you can only continue Spravato at a clinic that is REMS-certified, and your new clinic will need to confirm your REMS enrollment and treatment history before your first dose there. This is a routine part of transferring, and a certified clinic handles that paperwork as part of getting you started.
IV ketamine doesn’t fall under the same federal program, but a responsible clinic will still want your full treatment history before continuing your care.
Step 4: Check Insurance Before Your First Appointment
Insurance is where transfers most often get delayed. If your Spravato treatment is covered by insurance, a new provider typically needs its own authorization from your insurance company before treatment can continue, even if you were already approved at your previous clinic. Find out early whether your new clinic is in-network with your plan, and ask how long their authorization process usually takes.
At Parker Neuroscience, Spravato treatment is in-network with UnitedHealthcare/Optum, with additional insurance contracts in progress. IV ketamine is offered as a self-pay service. Full details are on our insurance and payment options page, including a waitlist for patients whose insurance we don’t take yet.
Step 5: Expect a New Evaluation, Not a Restart
A new clinic won’t simply pick up your old protocol and continue it unchanged, and that’s a good thing. Your new provider will complete their own evaluation, reviewing your history, your response to treatment so far, your current medications, and your safety considerations, before continuing care. For most patients, this doesn’t mean starting over from scratch. Your records and response history help shape a plan that builds on the progress you’ve already made.
This is also a natural point to ask whether your current treatment is still the best fit. Some patients who started on one option end up better suited to another. If you’re curious how Spravato and IV ketamine compare, our breakdown of IV ketamine vs Spravato covers the key differences.
Step 6: Ask the Right Questions About Your New Clinic
Switching clinics is also a chance to make sure your next provider is the right one. A few questions worth asking before you commit: Who prescribes and administers your treatment? How are you monitored during each session? What happens if something unexpected comes up? How is progress tracked over time? A good clinic will be glad to answer all of them. If you want a sense of what a monitored session looks like from start to finish, our first appointment walk-through lays it out step by step, and our overview of ketamine treatment in Omaha covers what to know before continuing care.
Transferring Your Care to Parker Neuroscience
If you’re looking to continue Spravato or IV ketamine treatment in Omaha, Parker Neuroscience can help make the transition as smooth as possible. Let us know where you are in your treatment and when your next session would be due, and we’ll walk you through the evaluation, records, and insurance steps from there. Request a consultation or call (402) 915-1862 to get started.
Questions related to this one
Will I have to start my Spravato or ketamine treatment over at a new clinic? Usually not. Your new provider will complete their own evaluation and review your treatment history, but your records and response so far help shape a plan that builds on your existing progress rather than starting from scratch.
What records do I need to transfer ketamine or Spravato treatment? Request your psychiatric evaluation, full treatment history with session dates, dosing information, any symptom tracking or progress scores, notes on side effects, a current medication list, and insurance authorization details if your treatment was covered.
Do I need new insurance approval to continue Spravato with a different provider? Often, yes. A new provider typically needs its own authorization from your insurance company, even if you were approved at your previous clinic. Starting the transfer early helps avoid a gap in treatment while that approval is processed.
What should I do if my ketamine clinic is closing? Start the transfer as soon as you know, request a copy of your records before the clinic closes, and avoid stopping treatment abruptly. Contact a new clinic early so the evaluation and insurance steps can be completed before your next treatment is due.