Clinical platform for ketamine maintenance

The supportive structure for at-home ketamine therapy.

Trellis tracks patients from evaluation through in-clinic induction and at-home maintenance — with peer-monitor attestations, a compounding queue, adverse-event oversight, and audit-ready documentation built in.

30-day
free trial
HIPAA
aligned
RLS
row-level security
01 — The apparatus

Every surface a ketamine practice actually needs.

Ten modules, one chart of record. No bolting Daily.co, Telnyx, or a separate eRx onto a generic EHR — the structure is built for the protocol.

Module 01 / 10
Live in-app preview
Patient · MRN-10428
Jordan A. Rivera
DOB 1986-04-12 · F
Active
InsuranceAetna PPO
PCPDr. K. Patel
AllergiesSulfa
ReferringN. Brooks, MD

Patient intake & chart

MRN auto-assigned, demographics, insurance, PCP, allergies, current meds, and referring-provider data in one chart.

02 — How it works

From first intake to signed note in one paved path.

  1. Step 01

    Intake the patient

    Capture demographics, insurance, PCP, allergies, and the referring provider. Trellis auto-issues an MRN scoped to your practice.

  2. Step 02

    Enroll & consent

    Open an enrollment, capture signed consent and FDA-warning acknowledgment, set the starting dose and weekly cadence.

  3. Step 03

    Verify the peer monitor

    Send a secure link. The peer monitor uploads ID, signs consent, and records a short verification video — clinician reviews in-app.

  4. Step 04

    Run dosing sessions

    Log dose-mg, the medication lot, baseline / 40-min / 2-hr vitals, and the peer-monitor attestation for every session.

  5. Step 05

    Document & sign

    Write the progress note, sign it, and Trellis locks it. Addenda are tracked. Adverse events get their own structured record.

03 — Spravato (esketamine) program

A 4-chair monitoring board built for the REMS protocol.

Every Trellis practice gets four Spravato chairs out of the box. Seat the patient, run the Janssen-style REMS checklist, witness self-administration, and watch the 2-hour observation clock tick down — without paper.

  • Auto-seeded chairs. Four chairs the moment your practice is created
  • REMS checklist. Janssen-style pre-dose, witnessed-administration, discharge attestation
  • 4-point BP cadence. Pre-dose, 40-min, 90-min, discharge — flagged when hypertensive
  • Device-level inventory. 28/56/84 mg nasal-spray devices, lot + expiry tracked
Spravato chair board · Live demo
4 of 4 chairs in use
Chair 1
Self-administered
MA
M. Alvarez
84 mg device
BP
132/84
In chair
8 min
Chair 2
40-min observation
JP
J. Park
56 mg device
BP
128/79
In chair
42 min
Chair 3
Pre-dose check
RO
R. Okafor
56 mg device
BP
138/88
In chair
2 min
Chair 4
90-min observation
SB
S. Bauer
84 mg device
BP
118/74
In chair
86 min
Simulated data · Real boards pull from REMS-attested sessions in your practice
04 — IV ketamine infusion program

Weight-based dosing, vitals timeline, vial-level inventory.

Trellis turns the standard TRD protocol — 0.5 mg/kg over 40 minutes — into a guided infusion you can run safely. Enter weight, the platform calculates total mg and infusion rate, deducts the vial automatically, and gives you a real-time vitals strip with adverse-event flags.

0.5 mg/kg
default protocol
40 min
standard infusion
Real-time
vitals timeline
  • Auto-calculated total mg and mL/hr from patient weight
  • Per-vial inventory: concentration, volume, lot, expiry
  • Lot deduction on session completion (expired lots blocked)
  • Patient portal + check-in kiosk for next-day infusions
IV ketamine · Session #1284
Patient · 72 kg · TRD protocol
Weight
72 kg
Dose
0.5 mg/kg
Total
36 mg
Duration
40 min
Rate
54 mL/hr
Vial
100 mg / 10 mL
Infusion progress24 / 40 min
Vitals timeline
t+0
128/82
HR 74
t+10
134/85
HR 78
t+20
138/88
HR 82
t+30
132/84
HR 80
t+40
HR
05 — Security & compliance

Audit-ready by default, not after a frantic week.

Every clinical write is scoped to your practice by row-level security. Notes lock on signature. Adverse events are first-class records, not free-text in a chart. Roles distinguish prescriber from staff from billing.

  • Row-level security on every clinical table
  • Signed clinical notes auto-lock; addenda are tracked
  • Audit log captures who-did-what at the practice level
  • Multi-role access: owner, prescriber, staff, intake, billing
  • Storage for ID documents and verification videos is private
  • HIPAA-aligned cloud infrastructure
06 — Pricing

Start with a 30-day trial. Then per-clinician, predictable.

No per-patient surcharge, no peer-monitor toll. Just one number per active prescriber, billed monthly.

Practice plan
$349/ prescriber / mo
  • Unlimited patients & sessions
  • Peer-monitor verification flow included
  • All 10 modules, no add-on tiers
  • 30-day free trial, no card up front

Stand up a defensible ketamine program — this week.

Trellis is the structure. You bring the clinical judgment.