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Oregon Health Authority

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 where applicants can apply for training program curriculum approval, psilocybin licenses, and worker permits, as well as enter product tracking requirements under ORS 475A and OAR 333-333. The TLC system is also a communications platform for messaging the OPS Licensing and Compliance teams.

Only applicants and licensees can access the TLC system. Please refer to theOPS TLC Login Guidance to guide you through creating a TLC account, logging into the system and troubleshooting TLC issues.


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 $150 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

Renew a Facilitator License

All psilocybin license types have a one-year term, beginning on the date the license was first issued.

To ensure license continuity, you must submit a complete renewal application at least 60 days before your license expires. See OAR 333-333-4250.

  • Renewal applications that are complete, submitted according to requirements, and submitted at least 60 days before the license expires will be considered timely under OPS rules. Licensees who submit timely applications may continue to operate on an expired license if OPS is unable to process the renewal application prior to the license expiration date. Incomplete renewal applications will not be considered timely unless they are made complete at least 60 days before the license expires. 
  • Renewal applications that are submitted less than 60 days before the license expires will be considered untimely under OPS rules. Licensees who submit untimely applications are prohibited from continuing to operate on an expired license if OPS is unable to process the renewal application prior to the license expiration date. Licensees are prohibited from exercising license privileges on the date their license expires if OPS is unable to process their renewal application before the expiration date and the renewal application is untimely.
We encourage licensees to begin the renewal process as soon as the renewal window in TLC opens. The renewal window in TLC opens 120 days prior to your license expiration date.

For more information about completing the required annual license renewal application process, please refer to the letters to OPS Licensees and Renewal Application Guide below:


Change Requests

Licensees are required to use the forms below for change requests. These forms must be submitted to the OPS Licensing team through the Training program, Licensing and Compliance (TLC) system. Please attach the necessary form and any other required documents to a TLC message and send to the OPS Licensing team. For questions, please email: Licensing.Psilocybin@oha.oregon.gov 

Change of Name
To request a change of a legal name, facilitators must submit a completed Change of Name Form.
For any change requests not covered by these forms, please message the licensing team in TLC messenger with your request.

License Surrender Requests

Please use the form below for license surrender requests. This form must be submitted to the OPS Licensing team through the Training program, Licensing and Compliance (TLC) system. Please attach the form to a TLC message. For questions, please email: Licensing.Psilocybin@oha.oregon.gov.


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 - Updated 1.2.24

Client Bill of Rights - Updated 1.2.24

Client Information Form - Updated 12.27.22

Client Transportation Plan - Updated 12.27.22

Client Safety and Support Plan - Updated 10.13.23

Client Medication and Medical/Assistive Device Form - Updated 10.13.23

Interpreter or Client Support Person Plan - Updated 10.13.23

Authorization to Disclose Personal Identifiable Information - Updated 10.13.23

Notice and Opt-Out of Disclosure of De-Identified Data - Updated 10.13.23

Client Consent for Other Individuals to Be Present During an Administration Session – Updated 10.13.23

Client Consent for Use of Supportive Touch During Administration Session – Updated 10.13.23

Client Consent to Receive Secondary Dose of Psilocybin Product – Updated 10.13.23

Client Consent for Video and Audio Recording of Individual Administration Session – Updated 10.13.23

Client Consent for Video and Audio Recording of Group Administration Session -Updated 10.13.23

Client Release from Administration Session – Updated 10.13.23

Adverse Reaction Requiring Medical Attention or Emergency Services – Updated 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)  - Updated 1.19.24

Client Bill of Rights (Spanish)  - Updated 1.19.24

Client Information Form (Spanish)  - Updated 12.27.22

Client Transportation Plan (Spanish)  - Updated 12.27.22

Client Safety and Support Plan (Spanish)  - Updated 10.13.23

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

Interpreter or Client Support Person Plan (Spanish)  - Updated 10.13.23

Authorization to Disclose Personal Identifiable Information (Spanish)  - Updated 10.13.23

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

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

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

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

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

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

Client Release from Administration Sessions (Spanish) - Updated 10.13.23


Questions? Contact:

Licensing.Psilocybin@oha.oregon.gov

1-971-673-0304