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.
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.
From first intake to signed note in one paved path.
- Step 01
Intake the patient
Capture demographics, insurance, PCP, allergies, and the referring provider. Trellis auto-issues an MRN scoped to your practice.
- Step 02
Enroll & consent
Open an enrollment, capture signed consent and FDA-warning acknowledgment, set the starting dose and weekly cadence.
- 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.
- 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.
- Step 05
Document & sign
Write the progress note, sign it, and Trellis locks it. Addenda are tracked. Adverse events get their own structured record.
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
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.
- 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
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
An installable app patients actually open — without an App Store fight.
The patient portal installs to the home screen from any modern browser as a Progressive Web App. No download friction, no review queue. Patients launch a branded icon, complete pre-dose check-ins, capture peer-monitor attestations, message the clinic, and review their care plan — all in one place.
- Pre-dose PHQ-9 / GAD-7 and vitals check-in
- Peer-monitor selfie + acknowledgment capture
- Secure messaging with the clinical team
- Session schedule, lot history, and consent on file
- Push reminders without an app-store submission
Pre-dose check-in
Takes about 90 seconds. Your peer monitor is required for this step.
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.