Psilocybin-Assisted Therapy Interest Form

Thank you for your interest in psilocybin assisted therapy with Innate Wisdom and Wellness. It is a true honor to walk alongside our Colorado community as we open the door to new pathways of healing and transformation. At this time, we are welcoming clients to join our waitlist. The form below is an opportunity to share a little about yourself, so we can better understand your needs and explore how our services may support your journey toward growth, clarity, and renewal. We deeply appreciate your patience as we move through this historic moment with care, intention, and responsibility. We look forward to the possibility of supporting you on your path of healing and self-discovery.

Note: THIS IS NOT A SCREENING FORM. Please check your spam folder for a response from us.

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Email *
Name *
Where do you live? *
Reason for seeking psilocybin assisted therapy at this time? *
Are you in therapy currently? *
Please share about your journey with therapy (When and for how long? How effective?) *
Please share any mental health diagnoses you have received, if any.
Are you currently taking medications? If so, please list them.  *
Do you have experience with psychedelics and altered states of consciousness? If so, please list. *
Do you have any cultural identities or personal experiences that might impact your psilocybin journey that you would like to share?
We do not accept insurance for administration services at this time. In addition, we cannot accept Medicaid clients at this time, even if they opt for out of pocket pay.  *
Psilocybin assisted therapy at our healing center requires a minimum of one assessment/consultation session, one preparation session, one administration session and one state required integration session, which costs a total of $2100-2900 (depending on insurance coverage). If psilocybin assisted therapy is not pursued after the initial assessment/consultation session, the fee for that session is $200. We do not offer free consultations.

The recommended Healing Journey Program, including one consultation, two preparation sessions, one administration session and two integration sessions costs between $2100-2900, depending on insurance coverage. Group sessions with one integration session cost between $930-1380, depending on number of participants (2-4) and insurance coverage. 
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