Client Intake
Before we begin, a little about you.
This form helps Tracy prepare thoughtfully for your time together. It supplements the forms Oregon requires for psilocybin services. It does not replace them.
1. Download the form
A fillable PDF. Complete it on your computer or phone, then save it.
Download the blank form (PDF)2. Send it back privately
Choose your completed PDF (up to 10 MB). It goes into a private area that only Tracy can open. It isn't public, and it isn't sent by email.
Please don't send this form by email. Questions? Reach Tracy at tracy@transcendentaljones.com. This form is not monitored for emergencies. If there is immediate danger, call 911.