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Journeys with Rose | Psilocybin Facilitator Oregon
Mission
Services
About
Forms
Contact
Book a Free Call
Journeys with Rose | Psilocybin Facilitator Oregon
Mission
Services
About
Forms
Contact
Book a Free Call
Mission
Services
About
Forms
Contact
Book a Free Call

Forms

Informed Consent

Client Bill of Rights

Client Information Form

Client Transportation Plan

Client Safety and Support Plan

Client Medication and Medical/Assistive Device Form

Interpreter or Client Support Person Plan

Authorization to Disclose Personal Identifiable Information

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

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

Client Consent for Use of Supportive Touch During Administration Session

Client Consent to Receive Secondary Dose of Psilocybin Product

Client Consent for Video and Audio Recording of Individual Administration Session

Client Consent for Video and Audio Recording of Group Administration Session

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