The State of Oregon encourages Clients to review the following forms to better understand information that may be covered with a licensed Facilitator in a Preparation Session.
Informed Consent - 1.2.24
Client Bill of Rights - 1.2.24
Client Information Form - 12.27.22
Client Transportation Plan - 12.27.22
Client Safety and Support Plan - 10.13.23
Client Medication and Medical/Assistive Device Form - 10.13.23
Interpreter or Client Support Person Plan - 10.13.23
Authorization to Disclose Personal Identifiable Information - 10.13.23
Notice and Opt-Out of Disclosure of De-Identified Data - 10.13.23
Client Consent for Other Individuals to Be Present During an Administration Session - 10.13.23
Client Consent for Use of Supportive Touch During Administration Session - 10.13.23
Client Consent to Receive Secondary Dose of Psilocybin Product - 10.13.23
Client Consent for Video and Audio Recording of Individual Administration Session - 10.13.23
Client Consent for Video and Audio Recording of Group Administration Session - 10.13.23
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