1. Purpose of the Session
You are voluntarily participating in a sound-healing session that offers the option to take Ketamine 150 mg tablet, prescribed and provided by Dr.

Okeke. The intention is to enhance relaxation, awareness, and therapeutic experience.

2. Nature of Ketamine

Ketamine is an FDA-approved medication used for anesthesia and, in low doses, may promote altered consciousness, mood enhancement, and emotional release. Possible effects include dissociation, dizziness, nausea, and mild confusion. These usually resolve within hours but may occasionally persist longer.

3. Voluntary Participation
Participation is entirely voluntary. You may refuse or withdraw at any time without penalty. This experience is not a substitute for ongoing medical or

psychiatric care.

4. Potential Risks and Side Effects

You understand and accept potential risks, including but not limited to:

• ●  Drowsiness, dizziness, or loss of coordination

• ●  Nausea or vomiting

• ●  Temporary increases in blood pressure or heart rate

• ●  Rare prolonged dissociation, anxiety, or confusion

• ●  You agree to report any adverse reaction immediately.

5. Post-Session Responsibilities
You agree not to drive, operate machinery, or make major decisions until the effects have fully subsided. You are responsible for arranging safe

transportation and post-session care.

6. Medical Acknowledgment

You confirm that you have disclosed all relevant medical and psychiatric history, are not under the influence of alcohol or illicit substances, and are not taking medications contraindicated with ketamine use.

7. Release of Liability
By signing this form, you release and hold harmless TRIM FiTT LLC, Dr. Okeke, and the Sabia Wellness House from any and all claims, liabilities, or

damages—known or unknown—that may arise from your participation or from the administration of ketamine during or after the event.

8. Confidentiality

Your participation and medical information will remain confidential except as required by law or in a medical emergency.

9. Consent to Treatment

By signing below, you acknowledge that you have read and fully understand this document, had the opportunity to ask questions, and voluntarily consent to receive Ketamine as part of this session.