How to Access Psilocybin Services in Oregon 2025

How to Access Psilocybin Services in Oregon

Psilocybin, a psychedelic compound, occurs naturally in over 200 species of mushrooms and has been used for ceremonial and spiritual purposes by certain indigenous and tribal communities for many centuries. Psilocybin services became an option for legal therapeutic use in Oregon following the approval of Measure 109 in 2020. The state’s psilocybin law allows licensed service centers to offer supervised psilocybin experiences under the guidance of trained facilitators. Adults aged 21 or older can legally access psilocybin services or treatment via guided sessions handled by licensed psilocybin facilitators at licensed psilocybin service centers in Oregon.

What are Psilocybin Services in Oregon?

Psilocybin services, as approved in Oregon, refer to three sessions provided to adults of legal age as therapy at licensed psilocybin service centers.

Preparation Session

At the preparation stage, clients seeking psilocybin services are required to participate in an intake session with a licensed facilitator. In this session, the licensed facilitator initiates a discussion with the client to understand their mental health history and expectations of the use of psilocybin. The facilitator will review the informed consent document with the client and explain the responsibilities of both parties and the potential effects of psilocybin. If a client is found to be experiencing an inclination to harm themselves or others, or have been diagnosed with active psychosis earlier, they will be restricted from proceeding to the next stage. Also, a client who has taken lithium in the last 30 days is ineligible to use psilocybin services in Oregon.

Also, the licensed psilocybin facilitator will create a safety and support plan, which is aimed at identifying coping strategies and support systems that may be required during the course of the services. A transportation plan will also be crafted at this session that the client must follow after completing the administration session.

Responses provided on the Client Information Form will indicate whether the client is ineligible for psilocybin services or requires the presence of an authorized support person during their administration session.

The goal of the preparation session is for the client to determine whether they intend to proceed to the next stage - administration session, and the facilitator to also decide if they can offer the requested services. Licensed facilitators retain the right to decline services to any client, regardless of the circumstances.

Administration Session

The administration stage is where a client consumes psilocybin under the supervision of a licensed psilocybin facilitator at an approved service center. Once the preparation session has been completed and a client is determined to be eligible to use psilocybin services, a licensed facilitator may proceed to provide the agreed dosage in a controlled setting. The facilitator will be present throughout the experience to ensure safety and respond to concerns that may arise. In order to ensure that the client is stable, they must remain at the service center for a specified minimum duration based on their dosage.

Integration Session

After the administration session in Oregon psilocybin therapy, a client is required to participate in an integration session to reflect on their experiences. A licensed psilocybin facilitator will follow up with the client within 72 hours of the completion of the administration session to review their safety and support plans, the administration session, and other necessary information. During this session, a client may also get referrals to psilocybin community resources and peer support networks.

Who is Eligible for Psilocybin Services in Oregon?

In order to be eligible to use psilocybin services or psilocybin therapy in Oregon, you must be aged 21 or older. Service centers and facilitators licensed under the psilocybin program are required to verify the age of their clients by requesting valid government-issued identification before providing services. No Oregon residency requirement is mandated before you may legally use psilocybin in the state.

Also, while a medical prescription is not required to use psilocybin, a licensed psilocybin facilitator at the licensed psilocybin service center will conduct an assessment to determine if you have suicidal inclinations, a history of mental health issues, or have recently used lithium. If you have or are undergoing therapies that may interact negatively with psilocybin, you will be restricted from using psilocybin at the service center.

Where Can You Get Psilocybin in Oregon?

Unlike cannabis, psilocybin is not available for purchase at dispensaries like cannabis. Instead, it is strictly regulated and may only be accessed through licensed psilocybin service centers or psilocybin treatment centers.

Also, only licensed facilitators are authorized to administer psilocybin. The administration of psilocybin must occur within the controlled environment of a licensed service center in compliance with the Oregon Psilocybin Act.

Who Can Provide Oregon Psilocybin Services?

Psilocybin services may only be administered by individuals who have obtained a Facilitator License from the Oregon Health Authority (OHA) under the Oregon Psilocybin Program. Licensed psilocybin facilitators are authorized to support clients through the various stages of psilocybin services.

Psilocybin may only be administered at licensed service centers. These centers are regulated by the OHA and must meet specific standards for safety, security, and client care. Facilitators are not permitted to provide psilocybin services independently or in private homes. ​

Do You Need a Prescription to Get Psilocybin in Oregon?

No, you do not need a prescription to access psilocybin-assisted therapy in Oregon. However, you must undergo a preparation session with a licensed facilitator at a licensed service center or psilocybin therapy center to ensure psilocybin services are appropriate for you.

How to Schedule a Psilocybin Treatment Session in Oregon

To schedule a psilocybin treatment session in Oregon, you must contact a psilocybin service center licensed under the Oregon Psilocybin Program. You may use the OPS Licensee Directory to find a licensed service center in the state. Note that the directory only provides information on psilocybin licensees who have agreed to have their information published.

To use the OPS License Directory, filter the available list of facilities by selecting the license type labeled “Service Center” on the landing page of the web resource. From this filtered list, you may research the listed service centers to identify a licensed facility that meets your needs and preferences. Note that each service center operates independently, with licensed facilitators managing their own communications and scheduling processes. Hence, establishing contact with a service center and arranging a preparation session may require some patience and time.

How to File a Complaint Against an Oregon Psilocybin Service Provider?

The Oregon Psilocybin Services investigates incidents, complaints, and concerns related to violations of the Oregon Psilocybin Act. Hence, you may file a complaint against a psilocybin service provider in the state with the OPS. Note that the OPS only investigates violations of Sections 333-333 and 475A of the Oregon Revised Statutes. If your complaint pertains to criminal activity, you should contact law enforcement. The OPS treats complaints as confidential information upon a written request as subject to the public records law in the state. If the OPS finds your complaint true and the service provider in violation of the Oregon psilocybin laws (ORS 333-333 or ORS 475A), your complaint may be used in an administrative proceeding.

To file a complaint with the OPS, you may use the OPS online system or a fillable complaint form (OPS Complaint Form or OPS Training Program Curriculum Complaint Form). Fillable complaint forms may be submitted to:

Oregon Health Authority
Public Health Division
RE: OPS Compliance Program
PO Box 14450
Portland, OR 97293-0450