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Oregon Health Authority

Oregon Psilocybin Services - Information for Licensed Facilitators

2025 Information for Licensees

All OPS licensees are required to complete the Required 303 Applicant and Licensee REAL & SOGI Data form by March 1, 2025. Below are additional instructions for accessing and completing the form:
 

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.

Continuing Facilitator Education Requirements

For renewal applications received on or after January 1, 2026, facilitator licensees must have completed four hours of continuing facilitator education during their annual license period. To meet this requirement, facilitators must complete the continuing education hours within the one-year period prior to their renewal date. Continuing facilitator education must consist of skills and knowledge that are relevant to the core curriculum described in OAR 333-333-3050 and OAR 333-333-3060. 

OPS will consider continuing education (CE) hours to be valid if: (1) the CEs are completed within the one-year period prior to renewal date, (2) they meet the requirement in Oregon Administrative Rule 333-333-3300, and (3)  the education was offered by:

  • A training program with curricula approved by the Authority.
  • An organization or conference that has been approved to offer continuing education for other types of professional licenses or certification.
As part of their renewal application, licensed facilitators will need to be able to provide documentation that describes the education received, who provided the training, when the training occurred and number of hours completed. This can be achieved by submitting a certificate of completion or other documentation that provides proof of registration and attendance.

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.

Social Equity Plan Information

Learn more about social equity plans:


Learn more about the required annual social equity evaluation reports: 

Psilocybin Product Potency Information

This Psilocybin Product Potency Information Document is designed to support client decisions on selecting a product type and dose that aligns with their intentions. The document explains different terms used in psilocybin product testing and where they can be found on product labels and other documents required to be shared with clients. OPS encourages facilitators to share and discuss this information with clients during preparation sessions. 

OPS Psilocybin Product Potency Information Document

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 1.1.25

Client Bill of Rights - Updated 1.27.25

Client Information Form - Updated 1.1.25

Client Transportation Plan - Updated 12.27.22

Client Safety and Support Plan - Updated 1.1.25

Client Medication and Medical/Assistive Device Form - Updated 1.1.25

Interpreter or Client Support Person Plan - Updated 1.1.25

303 Client Data Form - Updated 1.1.25

Authorization to Disclose Personal Identifiable Information - Updated 1.1.25

Notice and Opt-Out of Disclosure of De-Identified Data - Updated 1.1.25

Client Consent for Other Individuals to Be Present During an Administration Session – Updated 1.1.25

Client Consent for Use of Supportive Touch During Administration Session – Updated 1.1.25

Psilocybin Product and End of Session form – Updated 1.1.25

Client Consent for Video and Audio Recording of Individual Administration Session – Updated 1.1.25

Client Consent for Video and Audio Recording of Group Administration Session -Updated 1.1.25

Client Adverse Reaction Form – Updated 1.1.25

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) - 2.1.25

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) - 2.1.25

Client Medication and Medical/Assistive Device Form (Spanish) - 2.1.25

Interpreter or Client Support Person Plan (Spanish)  - 2.1.25

Authorization to Disclose Personal Identifiable Information (Spanish) - 2.1.25

Notice and Opt-Out of Disclosure of De-Identified Data (Spanish) - 2.1.25

Client Consent for Other Individuals to Be Present During an Administration Session (Spanish) - 2.1.25

Client Consent for Use of Supportive Touch During Administration Session (Spanish)  - 2.1.25

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

Client Consent for Video and Audio Recording of Individual Administration Session (Spanish) - 2.1.25

Client Consent for Video and Audio Recording of Group Administration Session (Spanish) - 2.1.25