Informed Consent & Participation Agreement

Your Role as Participant

You understand that you are an active participant in this process. You are responsible for:

• Making your own decisions regarding your participation.
• Communicating your needs, boundaries, questions, and concerns.
• Providing accurate information that may affect your safety and experience.
• Seeking additional resources or professional support when you determine it is needed.
• Taking responsibility for choices related to substances, practices, environments, and personal wellbeing.

You may pause, decline, or discontinue participation at any time.

Role of the Integration Facilitator

The Integration Facilitator’s role is to offer preparation, presence, support, reflection, and integration assistance. The Integration Facilitator does not:

• Diagnose, treat, or cure medical or mental health conditions.
• Guarantee specific outcomes or experiences.
• Provide medical advice.
• Make decisions for the Participant.
• Represent this support as licensed healthcare, psychotherapy, or medical treatment.
• Replace emergency, medical, psychiatric, or therapeutic care when those services are appropriate.

Benefits & Risks

Non-ordinary states of consciousness can have positive effects when they happen in safe and healthy ways. For example, meditation, deep prayer, creative flow, and dreaming can help people feel calmer, reduce stress, and gain new insights about themselves. Some people find that these experiences improve their creativity, emotional healing, or sense of connection with others. When practiced responsibly, these states can support personal growth, self-awareness, and overall well-being.

Non-ordinary states of consciousness can also have risks, especially when they are caused by alcohol, drugs, sleep deprivation, or unsafe situations. These states may affect judgment, memory, and decision-making, increasing the chance of accidents or risky behavior. Some people may experience fear, confusion, anxiety, or emotional distress, and those with certain mental health conditions may be more vulnerable to negative effects. Understanding these risks and making safe choices can help reduce harm while supporting both physical and mental health.

Non-Ordinary States of Consciousness

Non-ordinary states of consciousness can be meaningful, challenging, unfamiliar, inspiring, confusing, or transformative. Experiences may vary widely from person to person. A Participant may experience a range of emotional, physical, cognitive, perceptual, or spiritual experiences, including but not limited to:

• Heightened awareness or sensitivity
• Strong emotions
• Memories or personal reflections
• Changes in perception of time, self, or surroundings
• Feelings of connection, insight, uncertainty, vulnerability, or discomfort

There is no guaranteed outcome. Every person’s experience is unique.

Personal Responsibility & Choice

You understand that participation involves personal responsibility and informed choice. You agree to consider your own circumstances, including physical health, emotional wellbeing, medications, personal history, environment, relationships, and available support systems when deciding whether this support is appropriate for you. You agree to communicate any concerns that may affect your ability to participate safely and meaningfully.

Alternatives

No other medicine produces ketamine's specific effect. Psychotherapy without ketamine is available and can be effective. Depression, PTSD, and bipolar disorders are commonly treated with antidepressants, mood stabilizers, and psychotherapy; PTSD is often treated with EMDR; and ECT and TMS are used for treatment-resistant depression.

Confidentiality & Privacy

The Integration Facilitator respects the privacy of Participants and will make reasonable efforts to maintain confidentiality. However, confidentiality has limits. Information may need to be shared when required by law or when there is a serious concern involving immediate safety, harm, abuse, neglect, or another legally recognized exception. Participants are also encouraged to respect the privacy of others who may be part of shared spaces or communities connected to this work.

Boundaries & Respect

This support relationship is based on mutual respect, consent, and clear boundaries. The Participant and Integration Facilitator agree to:

• Communicate openly and respectfully.
• Honor personal boundaries.
• Avoid coercion, pressure, or dependency.
• Maintain awareness of the responsibilities of each person within this relationship.

The Participant is always encouraged to ask questions and request clarification.