Your first time: a practical guide

How legal services usually work

In Oregon's state program, psilocybin services have three parts: a preparation session, an administration session at a licensed service center, and an optional integration session afterwards. Colorado's program follows a similar structure. A diagnosis or referral is not required in Oregon, and services there are not medical treatment.

Psilocybin remains a Schedule I substance under US federal law, even in states that allow regulated use.

Before you book

• Confirm the license. Check the provider against the state's official license list. PsiloAtlas listings link to the source we checked.
• Ask what the price includes: preparation, the session itself, product cost and integration are often priced separately.
• Be honest on the intake form about medications, health conditions and mental-health history. In Oregon, this form is required.
• Plan your ride home. Oregon requires every client to have a transportation plan before the session.
• Read the informed-consent form and client bill of rights before the day, and ask about anything unclear.

Questions to ask a provider

• What is your license number, and which agency issued it?
• Who will be in the room, and what training do they have?
• How do you screen for medications and health conditions?
• What happens in a medical or emotional emergency?
• What is your cancellation and refund policy?
• Do you offer integration support afterwards, and is it included?

Warning signs

• No license, or reluctance to share one in a state that requires it.
• Promises to cure a condition, or pressure to book quickly.
• No screening questions about medications or health history.
• Offers to ship psilocybin or sell it outside a licensed setting.
• Retreats abroad that can't explain their medical support or emergency plan. This matters most for ibogaine.

Aftercare

Give yourself quiet time afterwards, and avoid big decisions for a few days. Integration sessions, peer groups or a therapist can help you make sense of the experience.

If you feel unsafe or in crisis at any point, call or text 988 in the US. See our resources page for other countries.