Expanding Access 
Through Clinical Integrity


RVA Regenerative Clinic, a leading integrative oncology and regenerative medicine practice in Virginia, partnered with Flow Integrative in 2023 to implement ketamine-assisted therapy within its existing care framework.
Key Achievements
90
days to fully operational program
team members trained and certified
11
02
treatment rooms established
THE CONTEXT

Overview

RVA Regenerative Clinic, a leading integrative oncology and regenerative medicine practice in Virginia, partnered with Flow Integrative in 2023 to implement ketamine-assisted therapy within its existing care framework. The clinic sought a solution that merged clinical excellence, hands-on training, and operational compliance — without compromising the deeply human aspect of care that defines their model.

Within 90 days, the team successfully integrated Flow's Adaptive IP System, transforming an unused breakroom into a fully functional healing space designed for safe, scalable, and ethically guided psychedelic therapy.

THE PROCESS

Implementation

Flow's onboarding process began with a detailed assessment of the clinic's goals, team structure, and operational capabilities to ensure alignment. From there, Flow delivered a three-part integration plan that combined digital education with live clinical immersion:


Designed to get you set up in 60 days or less:

  • Foundational modules in ketamine pharmacology, patient screening, and compliance fundamentals.

  • On-site, real-world application with live patients, adaptive dosing simulations, and trauma-informed care frameworks.

  • This blended learning model ensured staff proficiency across clinical, administrative, and experiential dimensions of care.
THE DECISION

Why Flow Integrative

The clinic's founder, Janelle Sansi FNP-C, had explored numerous online ketamine training options but found them lacking real-world application and compliance depth. Flow Integrative stood apart for its immersive, clinically validated approach — combining digital coursework, in-person training, and ongoing mentorship.

"We'd been drawn to ketamine for its potential—but we didn't want to DIY it or risk non-compliance. Flow gave us everything we needed: trusted protocols, a clinical backbone, and real-world guidance. The transformation we're seeing in patients is profound. We couldn't have done this without Christi and her team."

— Jennylle Zanzi, Owner, RVA Regenerative Clinic

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THE RESULTS

Results & Measurable Impact

Within three months of training, RVA Regenerative had launched a compliant, patient-centered ketamine program that expanded access to underserved populations while maintaining the highest clinical standards.

Key Outcomes:

Fully operational program in under 90 days
11 team members trained and certified through Flow's Adaptive IP System
Two treatment rooms established for individual patient care
Expanded access for cancering patients, veterans, and trauma-affected individuals
Documented improvement in patient-reported outcomes related to depression, trauma recovery, and overall emotional regulation


The clinic's trauma-informed model quickly became a community reference point, attracting patients from diverse socioeconomic and cultural backgrounds, including non-native English speakers and underserved rural communities.‍

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Male doctor with stethoscope smiling and reassuring a seated female patient in a clinic room.

"One of the most powerful transformations came from a patient struggling with severe anxiety and depression after a series of personal losses. After six Flow-guided sessions, she experienced marked improvement — reduced panic episodes, restored sleep, emotional stability, and renewed engagement with her relationships and career."

– RVA Regenerative Clinic Team

FOR CLINICIANS

Key Takeaways

The success of RVA Regenerative Clinic underscores that effective psychedelic therapy integration requires more than pharmacology — it demands ethics, structure, and lived clinical experience. Flow's hands-on, adaptive model allowed the team to not only implement the therapy safely but also evolve it into a sustainable, patient-centered pillar of care.

Flow's Adaptive IP System provides clinics with:‍

  • A turnkey infrastructure to integrate ketamine infusion therapy safely and efficiently.
  • Clinically validated protocols refined through real-world diversity and volume.
  • Legal and compliance frameworks built for both CPOM and non-CPOM states.
  • Ongoing clinical mentorship and digital learning resources for continuous evolution.
LOOKING FORWARD

The Future of Ethical Access

The collaboration between RVA Regenerative Clinic and Flow Integrative demonstrates how clinically grounded systems can democratize access to psychedelic therapy. It offers a replicable roadmap for providers who want to enter this space confidently — equipped with structure, safety, and support.


→ Learn more about licensing Flow's Adaptive IP System for your clinic

More Stories, More Possibilities
Real results.Real growth.
Real change.

Explore how clinics like yours are transforming patient care with Flow’s Adaptive Ketamine Therapy™ model.