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Oregon Psilocybin Services - Facilitator License

Facilitator License Information

The Oregon Health Authority began accepting applications for Psilocybin Service Facilitator licenses on January 2, 2023. 

Learn More About a Facilitator License:

Apply Online

The Oregon Psilocybin Services (OPS) – Training program, Licensing, and Compliance (TLC) system is an online platform to apply for licenses and worker permits.

Ready to Apply? Click Here.

For more information about how to prepare for the application process, please read the information on this page and refer to the application guide below:

Facilitator Application Guide for ONLINE APPLICATIONS

Apply By Mail

If you are unable to complete the application online using the TLC platform and application guide, you may print the paper application packet below. Please mail the paper copy of the application packet, along with the $500 non-refundable fee to the address listed at the end of the application packet. For more information, please see the MAILED application guide below.

Facilitator License Application Guide for MAILED APPLICATIONS

Application Packet for Mailed Applications:
Facilitator License PRINTABLE APPLICATION

OPS Facilitator Exam

As part of the application process, applicants for a facilitator license must pass an OPS administered facilitator regulations exam. This exam is in addition to a comprehensive skills-based exam that facilitator training programs will administer to students.

Learn more about the facilitator exam in the application guide. 

Background Check Information

Learn more about background checks:

Social Equity Plan Information

Learn more about social equity plans:

Learn more about the required annual social equity evaluation reports: 

Operational Forms for Facilitator Licensees

Oregon Psilocybin Services (OPS) administrative rules require that licensees use certain forms and documents for the production of psilocybin products and the provision of psilocybin services. Please consult the rules to determine whether a form must be competed for every client or whether it must be completed only when certain conditions or events occur.

Please Note: To digitally sign documents, it is important to download and save the document to a computer, then open it in Adobe Reader to complete. It is recommended that the most current version of Acrobat Reader be used. Click here to get a free download of Adobe Reader. Individuals may need to create and save a new password-protected 'Digital ID' in Acrobat Reader in order to sign the forms digitally. OPS is unable to provide additional technology support.

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

Client Release from Administration Session – 10.13.23

Emergency Services Contact Report - 10.13.23

Adverse Reaction Requiring Medical Attention or Emergency Services – 1.2.24

Formas y documentos operativos del facilitador

Spanish versions of new and updated forms are currently being translated and will be posted as soon as they are available. 

Informed Consent (Spanish)  - 1.19.24

Client Bill of Rights (Spanish)  - 1.19.24

Client Information Form (Spanish)  - 12.27.22

Client Transportation Plan (Spanish)  - 12.27.22

Client Safety and Support Plan (Spanish)  - 10.13.23

Client Medication and Medical/Assistive Device Form (Spanish)  - 10.13.23

Interpreter or Client Support Person Plan (Spanish)  - 10.13.23

Authorization to Disclose Personal Identifiable Information (Spanish)  - 10.13.23

Notice and Opt-Out of Disclosure of De-Identified Data (Spanish)  - 10.13.23

Client Consent for Other Individuals to be Present During an Administration Session (Spanish) - 10.13.23

Client Consent for use of Supportive Touch During Administration Sessions (Spanish) - 10.13.23

Client Consent to Receive Secondary Dose of Psilocybin Product (Spanish) - 10.13.23

Client Consent for Video Recording of Individual Administration Session (Spanish) - 10.13.23

Client Consent for Video Recording of Group Administration Session (Spanish) - 10.13.23

Client Release from Administration Sessions (Spanish) - 10.13.23


Questions? Contact:

Licensing.Psilocybin@oha.oregon.gov

1-971-673-0304