Oregon Psilocybin Informed Consent Form: What Clients Should Know

In plain English, this form sets the basic expectations and safety boundaries for your psychedelic experience. It explains what legal psilocybin services include, what your facilitator is allowed to do, what they are not allowed to do, what risks you should understand, and what safety plans need to be in place before the session starts. It’s required in the state of Oregon before your first session.

Most importantly, it ensures you are making an informed, voluntary decision, and that the required legal, safety, medical, privacy, and boundary issues have been discussed. Your facilitator or service center must provide it during your preparation session, or earlier if you ask for it. Your facilitator must also review it with you, answer your questions, and receive your signed copy.

The form must also be provided in other languages or accessible formats upon request. If a facilitator or service center cannot provide the document in the requested language or format, they may not conduct the administration session with you.

You can review the official Oregon Psilocybin Informed Consent Form through the Oregon Health Authority.

Psilocybin can affect memory, perception, emotion, physical sensation, and your sense of time. The form ensures safety and consent issues are discussed before that happens, while you are still sound of mind and able to ask clear questions.

It also makes one point very clearly: consuming psilocybin is voluntary. Completing the paperwork, attending preparation, or arriving at the service center does not obligate you to consume psilocybin. You can always decide not to move forward.

What am I actually agreeing to?

1. Psilocybin Bill of Rights

The form begins by confirming that you have reviewed the Oregon Psilocybin Services Client Bill of Rights, that your facilitator has explained it to you, and that you understand your rights as a client. This includes your right to respectful treatment, informed consent, privacy protections, access to information, and choice in whether to participate.

2. Is Psilocybin Therapy Medical Treatment?

People often search for “psilocybin therapy,” but Oregon’s regulated system uses the term psilocybin services. Oregon psilocybin services do not require a diagnosis or referral. A person can seek services without being diagnosed with depression, PTSD, anxiety, substance use disorder, or another condition.

The form also says that psilocybin services are not medical or clinical treatment. A licensed facilitator can support you before, during, and after the session, but they are not acting as your physician, therapist, psychiatrist, or prescriber in that role.

This means a facilitator should not promise that psilocybin will cure or treat a specific condition. The service may still be useful to a client, but the form draws a clear line between regulated psilocybin services and medical care.

3. Is Psilocybin Legal in Oregon?

The form explains that psilocybin has not been approved by the Food and Drug Administration and is still classified by the federal government as a Schedule I controlled substance.

Oregon has created a regulated state program for psilocybin services, but federal law still prohibits the manufacture, distribution, and possession of psilocybin. The form includes this information so you understand the legal conflict before participating.

The form also notes that research suggests psilocybin is very unlikely to be addictive, and that research and other information suggest psilocybin may improve symptoms related to depression, anxiety, end-of-life distress, trauma, and problematic substance use. The form does not promise that any specific result will happen for you.

4. Psilocybin Risks, Side Effects, and Difficult Experiences

The form states that the risks, benefits, and drug interactions of psilocybin are not fully understood. It also says individual results may vary.

Some clients may experience insight, emotional release, spiritual material, or a sense of clarity. Others may encounter anxiety, confusion, fear, physical discomfort, or difficult memories. The form names these possibilities so they can be discussed before the session, not discovered for the first time during it.

The listed side effects include nausea, mild headache, fatigue, anxiety, confusion, increased blood pressure, elevated heart rate, paranoia, perceptual changes, altered thought patterns, reduced inhibitions, resurfacing of past trauma or repressed memories, and changes in the perception of time and surroundings.

The form says these effects are often mild and temporary when they occur, but it also names more serious possibilities, including long-term distress, worsening psychiatric symptoms, and cardiovascular effects.

5. Psilocybin, Medications, Mental Health, and Medical Conditions

The form says that if you take prescription medication, or if you have a medical or mental health condition, you should consider consulting with a medical or clinical provider before participating in an administration session.

This does not automatically mean you cannot participate. It means your health history deserves attention before the session begins.

The form also states that psilocybin is derived from fungi. If you have a known mushroom allergy, you should consult with a medical or clinical provider before participating.

The form separately notes that the risks of consuming psilocybin while pregnant or feeding with breast milk are unknown.

6. Supportive Touch

During a session, some clients may want physical reassurance, such as a hand to hold. Others may want complete physical space. The informed consent form makes clear that facilitators may not use touch while providing psilocybin services unless you have given prior written consent.

If supportive touch is discussed as part of your session, your facilitator should talk with you ahead of time about what types of touch are acceptable. You are not required to agree to supportive touch, and your boundaries should be clear before the administration session begins.

Oregon provides a separate Client Consent for Use of Supportive Touch During Administration Session form.

The form explains that information that may identify you as a client will only be shared to the extent permitted or required by law.

Some situations may allow or require disclosure. These include when you consent to disclosure, when you initiate legal action or make a complaint, when communication reveals intent to commit a crime harmful to yourself or others, when communication reveals that a minor may have been abused or neglected, or when the Oregon Health Authority is investigating a licensee.

The form also addresses de-identified data. If de-identified data collected by facilitators or service centers is shared outside the facilitator or service center, you must be given a disclosure form explaining who will receive the data and how it will be used. You also have the opportunity to opt out of having your de-identified data provided to third parties.

You can review Oregon’s Notice and Opt-Out of Disclosure of De-Identified Data form for more information.

8. When Information May Need to Be Reported

Confidentiality has limits. The informed consent form says facilitators may be mandatory reporters of abuse. If your facilitator is a mandatory reporter, they must tell you that and explain their legal obligations to report abuse.

The form also says licensees have a duty to report misconduct that harms or endangers a client to the Oregon Health Authority. If the misconduct creates an immediate risk to health or safety, service centers have a duty to contact emergency services.

Other situations may also allow or require disclosure, including safety concerns, complaints, legal action, suspected abuse or neglect of a minor, or an Oregon Health Authority investigation. This does not mean everything you share is automatically reported. It means your facilitator should explain the limits of confidentiality before the session begins.

9. Transportation Plan: Why You Cannot Drive Home

Safety does not end when the session ends. Oregon requires clients to have an agreed-upon transportation plan.

The informed consent form says you agree to follow that plan. It also says that a facilitator may contact emergency services if failing to follow the plan creates a risk to your safety or the safety of others.

Put simply, you should not plan to drive yourself home after consuming psilocybin. Your transportation plan is part of the safety structure of the session.

You can review the official Oregon Psilocybin Client Transportation Plan.

10. Can You Change Your Mind Before a Psilocybin Session?

The form states that consuming psilocybin is completely voluntary. You may decide not to consume psilocybin at any time.

This applies even if you have already completed preparation, signed forms, paid fees, or arrived at the service center. Signing the informed consent form does not remove your ability to stop before consuming psilocybin.

11. What Happens During the Session?

The form includes several practical details about what may happen during an administration session.

It states that your facilitator may take short restroom breaks. It also explains that, once an administration session has begun, leaving the service center is strongly discouraged for your own safety. Leaving during the session could create safety and legal risks.

The form also says that service center licensee representatives may be present during your administration session to assist licensed facilitators with operations.

If you participate in a group administration session, the form explains that you will be experiencing the effects of psilocybin in the presence of other clients who are also under the effects of psilocybin. They may react differently than you do.

12. Mushroom Dosing, Potency, and Activation Time

The form explains that activation times for psilocybin products can vary and cannot be accurately predicted. In plain language, this means the effects may not begin at the exact time you expect.

The form also says that the risks and benefits of consuming doses greater than 35 mg of psilocybin analyte are unknown.

If you consume whole fungi, the form notes that psilocybin content can vary between individual fruiting bodies. It also states that the risks and benefits of repeated psilocybin use are unknown.

Oregon provides a separate Psilocybin Product Potency Information document that explains product types, potency, and dose-related terms.

13. Emergency Contact and Emergency Services

The form says that a facilitator has a duty to call emergency services if required. It also says the client assumes responsibility for the costs of emergency services.

You are also required to identify an emergency contact. A facilitator or service center may contact that person in the event of a medical or other emergency.

Choose someone appropriate, reachable, and able to respond if needed.

Informed consent should continue throughout the preparation process. If something feels unclear, rushed, or unresolved, you can ask for more explanation before signing or before consuming psilocybin.

You also have the right to choose your facilitator, request information in an accessible format or another language, and verify a psilocybin facilitator or service center license.

Read the form carefully and ask about anything that is unclear. This way you will be in a better position to decide whether psilocybin is right for you.

Return to the main Oregon Psilocybin Client Forms page to access the official forms and read additional plain-English guides.

Informed Consent = Safety