Contact Us The Sacred Mushroom 321 Northwest Glisan Street 7th Floor, Portland, OR, USA Main Number: (971) 394-6257 Email Us: [email protected] Please fill out the form below, and someone will be back to you within 5 business hours: First Name * Last Name * Phone Number Date of Birth * (*We need your DOB to create a guest profile so that we may send you an Oregon Health Authority required intake form to confirm that you qualify for Psilocybin Services, or if you are an existing member so we can easily locate your secure guest files. *This is a required field*.) (*We need your DOB to create a guest profile so that we may send you an Oregon Health Authority required intake form to confirm that you qualify for Psilocybin Services, or if you are an existing member so we can easily locate your secure guest files. *This is a required field*.) Email Address * New/Existing Member (Please Select One) New/Existing Member (Please Select One)New MemberExisting Member Please confirm your information above, specify if you want to fill out the forms via text link or email and we will send you a link to fill out the initial form. Once we receive your completed form our intake and scheduling team will contact you to complete your assessment and assist with booking your journey. Please confirm your information above, specify if you want to fill out the forms via text link or email and we will send you a link to fill out the initial form. Once we receive your completed form our intake and scheduling team will contact you to complete your assessment and assist with booking your journey. Welcome Back. Please tell us when you would like to book your next TSM Journey and add any special requests. Our intake and scheduling team will contact you to confirm your reservation. Please feel free to send us a message below. Welcome Back. Please tell us when you would like to book your next TSM Journey and add any special requests. Our intake and scheduling team will contact you to confirm your reservation. Please feel free to send us a message below. Interested In: (Check boxes) Interested In: (Check boxes) Individual Sessions Group Sessions Special Events Integration Other Other Group Name (Please Select One) Group Name (Please Select One)Psilocybin ExplorersMilitary VeteransMusic EnthusiastsTrauma SurvivorsNature LoversEating DisordersArt AficionadosAthletesLeadersAcademicsCreatives Please Enter your Message to us here. Submit