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.)

 

Each of the 15 sets need to be downloaded, read, signed & dated at least 24 hours prior to the administration of any psilocybin. These signed forms ( with the Exception of the Release of the end of the session) need to be given to the Facilitator prior to your journey.
 

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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Required Microdosing Forms​​For EACH & EVERY microdosing session, a set of these forms is needed. This is the state requirement. You will sign and date each form with the EXCEPTION of the end-of-session form!

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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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