Facilitator Forms
For a complete checklist of required and optional forms for offsite client consultations, click below.
Facilitator form checklist.webp)
Prep & Orientation Forms
Brain Brew and OPS Forms - Required
The following forms are required for preparation and orientation.
Brain Brew and OPS Forms – Optional
The following forms are optional for preparation and orientation.
- Client Medication and Medical/Assistive Device Form
- Interpreter or Client Support Person Plan
- Authorization to Disclose Personal Identifiable Information
- Client Consent for Other Individuals to Be Present During an 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
- BB – Psilocybin Integration Resources
- BB – Client Intake Form
- BB – Client FAQ
Integration Forms
Brain Brew Forms – Required
The following forms are required for integration.