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Patient Forms

Complete your required patient forms easily before your visit to Lone Star Infusion. Access new patient packets, consent forms, and referrals online—your completed forms are securely sent to our office for a smooth and stress-free appointment experience.
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New Patient Forms

New Patient Packet

To enroll as a new patient
Fill The Frorm

Physician Referral Form

For a physician to refer a patient to Lone Star Infusion

Fill The Frorm

Release of Information

To authorize a medical provider to release information to Lone Star Infusion
Read More
Notice of Privacy Practices
Select Patient Form

Before Your Appointment

Complete these forms before each appointment: Consent and Instructions QIDS

New Patient Forms

Fill The Frorm

Consent and Instructions

Fill The Frorm

QIDS

Fill The Frorm
Submission

To Submit

  • Follow the links on this page. A copy of your paperwork will be automatically sent to our office when you complete the paperwork in the provided links and follow the instructions provided.
AREAS OF CARE

Discover Our Specialized Services

At Lone Star Infusion, we go beyond treatments to provide complete, patient-centered care. From consultation and diagnosis to customized therapy and ongoing support, our services are designed to make your healing journey seamless, safe, and effective. Each step is guided by medical expertise and a genuine commitment to your well-being.

OCD

Find relief from intrusive thoughts and anxiety with advanced ketamine therapy designed to ease symptoms and restore balance.

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Depression

Fast-acting ketamine treatments that help lift mood, reduce depressive symptoms, and bring lasting emotional relief.

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PTSD

Experience deeper healing with ketamine-assisted therapy that helps reduce trauma responses and restore emotional balance.

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Anxiety

Find calm and clarity with low-dose ketamine infusions that ease anxiety and promote lasting peace of mind.

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Bipolar Disorders

Stabilize mood and enhance emotional well-being through targeted ketamine treatments designed for balance and relief.

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Neuralgia

Relieve nerve pain and improve comfort with ketamine and SGB therapies focused on reducing
stress-related pain signals.

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CRPS/RSD

Discover effective relief for chronic pain and nerve sensitivity through advanced ketamine therapies designed to restore comfort and mobility.

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Other Symptoms

Our experienced team customizes treatments to your specific needs — helping you find the right therapy for lasting relief and improved well-being.

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Energy Corridor
Houston

  • 14740 Barryknoll Lane, #140

  • Houston, TX 77079

  • Fax: 281-719-9393

Hours of
Operation

Day Opening Hours
Monday 9:00 AM - 5:00 PM
Tuesday 6:00 AM - 4:00 PM
Wednesday 6:00 AM - 4:00 PM
Thursday 6:00 AM - 4:00 PM
Friday 6:00 AM - 4:00 PM
Saturday 6:00 AM - 4:00 PM
Sunday Closed

Important Notice Regarding Discontinuation of Ketamine Treatment Services

Lone Star Infusion will discontinue providing ketamine infusion and treatment services effective February 23, 2026. This decision was not made lightly, and we understand this news may be concerning to you.

What This Means for Your Care

After February 23, 2026 our clinic will no longer provide ketamine treatments. You will need to establish care with another provider to continue ketamine therapy, or work with your treating psychiatrist or pain management physician to explore alternative treatment options.

Your Immediate Next Steps

  1. Contact your prescribing psychiatrist, primary care physician, or pain management specialist to discuss your ongoing treatment plan and alternatives.
  2. If you wish to continue ketamine therapy, please review the enclosed list of physician-supervised ketamine clinics in the Houston area. We do not endorse any particular provider; this list is provided for your convenience only.
  3. Contact our office to schedule any final appointments before [closure date] and to discuss your transition of care.

Your Medical Records

Your treatment records will remain available through Lone Star Infusion. To request copies of your records or to authorize transfer to a new provider, please contact our office at 281.947.3268 or send a written request to 14740 Barryknoll Lane, Ste. 140, Houston, TX 77079. There is no charge for transferring records to your new treatment provider.

Continuation of Care During Transition

We stay committed to your care during this transition period. Please contact our office at 281.947.3268 if you have questions, need to schedule appointments before our closure date, or require assistance with your transition to a new provider.

We understand this transition may be difficult, and we appreciate the trust you have placed in us for your care. Our staff is available to assist you during this process.

Sincerely,
Chauncey Jones, M.D.
Lone Star Infusion