The following are the required forms from the Oregon Health Authority ( the legal ruling body that sets the rules & regulations for the Oregon psilocybin centers & the Oregon certified psilocybin facilitators.)

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If a microdosing session is the 1st time you will have a session with Becca within a year- a full set of the above 16 forms will be needed to be read, downloaded & signed within 24 hours PRIOR to your journey. This is Oregon State law. The papers also need to be reviewed by Becca within 24 hours prior to your journey. ( This eases the day of the journey by not having to deal with paperwork on the morning of the journey).

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CLICK ⬇ DOWNLOAD FOR ALL CONSENT FORMS ⬇
 

OR YOU CAN DOWNLOAD INDIVIDUALLY BELOW

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1 - Informed Consent - Updated 1.1.25

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2 - Satya Informed Consent - Updated 10.5.25

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3 - Client Bill of Rights - Updated 1.1.25

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4 - Client Information Form - Updated 1.1.25

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5 - Client Transportation Plan - Updated 12.27.22

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6 - Client Safety and Support Plan - Updated 1.1.25

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7 - Client Medication and Medical/Assistive Device Form - Updated 1.1.25

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8 - Interpreter or Client Support Person Plan - Updated 1.1.25

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9 - 303 Client Data Form - Updated 1.1.25

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10 - Authorization to Disclose Personal Identifiable Information - Updated 1.1.25

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11 - Notice and Opt-Out of Disclosure of De-Identified Data - Updated 1.1.25

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12 - Client Consent for Other Individuals to Be Present During an Administration Session - Updated 1.1.25

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13 - Client Consent for Use of Supportive Touch During Administration Session  - Updated 1.1.25

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14 - Psilocybin Product and End of Session Form - Updated 1.1.25

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15 - Client Consent for Video and Audio Recording of Individual Administration Session - Updated 1.1.25

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16 - Client Consent for Video and Audio Recording of Group Administration Session - Updated 1.1.25​

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For subsequent microdosing journeys- only the following forms are required-

but they are required Each & Every Time:

 

(#5)Transportation

(#6) Safety & Support

(#13) Supportive touch

(#14) Psilocybin Product & End of Session ( do NOT sign this last portion)

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CLICK ⬇ DOWNLOAD FOR ALL MICRODOSING CONSENT FORMS ⬇

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OR YOU CAN DOWNLOAD INDIVIDUALLY BELOW

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1MD - Client Consent for Use of Supportive Touch During Administration Session  - Updated 1.1.25

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2MD - Client Transportation Plan - Updated 12.27.22

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3MD - Client Safety and Support Plan - Updated 1.1.25

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4MD - Psilocybin Product and End of Session Form - Updated 1.1.25

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