Services & Rates
Payment is due in full on or before the date of service. We can accept payment via check, credit or debit card, direct bank transfer, or Venmo. There may be additional fees depending upon the form of payment you choose; those fees are dictated by the payment processing companies.
Nurse Log clinic is not in-network with any health insurance company and cannot accept payment via health insurance. Unfortunately, health insurance plans create many limitations to personalized patient care, and we need to be able to spend the hours of work day focused on you and your care, not on navigating insurance policies and letting those policies dictate the type of care you can receive. Thank you for your understanding.
Treatment Services
Sessions can be scheduled individually, but depending on the treatment plan, some patients might prefer to schedule an entire treatment series. For many people, initial treatment with ketamine is most effective if done in a series of 6 to 8 sessions over 2 to 4 weeks (for example, 2 sessions per week for 3 weeks). If you are interested in this option, please contact us.
New patient evaluation
In-person in Winthrop, Washington. A new patient evaluation is required for all new clients establishing care for the first time. This includes an extensive evaluation and medical screening, and prescription IF clinically indicated. This will be performed by Kelle and billed under East/West Psychiatry.
60-90 mins | Rates depend on insurance coverage, please inquire with East/West Psychiatry
Individual Preparation Session
Ketamine medicine sessions include time spent in a dream-like, non-ordinary state of consciousness. It might feel familiar, but it will likely be different than any experience you’ve had previously; for some people this might be disturbing, upsetting, or might challenge beliefs that you have held dearly. To ensure readiness for this experience, it’s important to discuss expectations, hopes, fears, and intentions in advance.
1 prep session is required after the initial consultation and before ketamine treatment sessions begin.
60 mins | Rates depend on insurance coverage, please inquire with East/West Psychiatry
The process will look like this:
New patient evaluation (medical visit to make sure this is clinically indicated and appropriate for you)
Prep Session
Ketamine Medicine / Inner Journey Sessions
Integration Sessions (if desired)
Separately purchased sessions have service rates as listed below.
Ketamine Medicine / Inner Journey Sessions
The Nurse Log clinician can provide ketamine treatment via IM injection or SL tablet. Please see the "about the medicine" page for detailed descriptions of each route of administration.
Fully Supported IM injection session, with Nurse Practitioner present for integration counseling and consciousness exploration: 2 - 2.5 hours | $750 | Get Started
Fully Supported Sublingual lozenge session, with Nurse Practitioner present for integration counseling and consciousness exploration
Approximately 1.5 - 2.5 hours | $500 | Get Started
Integration Sessions
Follow-up Integration Sessions occur after your treatment and usually happen days (but could be weeks or months) after medicine sessions. Follow-up integration sessions with us are not required, but some form of integration is strongly encouraged. Most patients would benefit from meeting regularly with a therapist throughout and after the ketamine treatment process.
These sessions are also available to help integrate previous experiences of non-ordinary states of consciousness you may have encountered in your lifetime.
Follow up Integration Session
In person in Winthrop, Washington or via video meeting to discuss the Journey experience (insights, memories, sensations, thoughts that occurred during the treatment session) and methods for integrating this experience with your life and healing path going forward.
60 mins | Rates depend on insurance coverage, please inquire with East/West Psychiatry
Follow up Integration Session - Customized
Personalized, creative, sensory, nature- or other activity-based experiential, extended integration session. We will use this extended, more robust method to review/re-mind the Journey experience (insights, memories, sensations, thoughts that occurred during the treatment session) and explore methods for integrating this experience with your life and healing path going forward.
Customized Integration sessions with me can take place within the clinical office setting or at a location of your choice in the Methow Valley.
90 - 120 mins | $275 | Get Started
Ketamine Assisted Therapy / Psychotherapy
Otherwise known as KAP, this treatment modality utilizes ketamine medicine as an adjunct to the primary work of relational psychotherapy with a licensed mental health therapist or nurse practitioner. Kelle Ronnfeldt is a Psychiatric / Mental Health Nurse Practitioner who is familiar with the principles of working with people utilizing psychedelic medicines as therapy accelerators.
If you already have a therapist, we can consider coordinating with them to provide either in-office KAP or some combination of video visits with in-person medicine sessions, or in some cases, we may be able to go to your therapist’s office or your home to provide the medicine treatment, if preferred.
Contact us here and leave a note this is of interest to you.
Group Sessions
Group Preparation Sessions
Two (2) prep sessions are required for participation in Group Treatment. First prep session will be as an individual, second prep session will be with your assigned group. Please contact us here if you are interested in Group Treatment Sessions.
Group Treatment Sessions
A pre-selected group of up to 6 individuals (minimum 4 people) gather together for fully supported group treatment sessions to enhance the therapeutic experience. This is intended to offer a more affordable option compared to individual work.
Follow up Group Integration Session
Group session to discuss the Journey experience of the individuals in the group (insights, memories, sensations, thoughts that occurred during the treatment session) and methods for integrating this experience with your life and healing path going forward.
Reach out here if interested in this option.
Ketamine Treatment Sessions, at your home or location of your choice
For some people, treatment sessions in their own home may be preferred. We are open to consider providing this service, depending upon location and safety factors related to the location itself. The cost of treatment sessions in your home will be higher due to additional logistical considerations. If you are interested in at-home treatment sessions, please contact us here.