Guides Collective | Psychedelic Care and Support

Let's start your application! What's your name?

First Name *

Last Name *

How can we contact you?

Email *

Phone

Website

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Where are you located?

Address *

City *

State *

Postal code *

How many years have you been a practicing guide? *

Less than 2 years

2-5 years

More than 5 years

Are you a full-time or part-time guide? *

Full-time

Part-time

Is this your main source of income? *

Yes

No

How many ceremonies/journeys have you facilitated? *

Less than 5

5-15

15-50

50-100

More than 100

Are you currently working with, or being supported by, a medical director or licensed professional while conducting your intake process? *

Yes

No

Are you currently working with other facilitators/guides in your containers? *

Yes

No

Your Gender: *

Male

Female

Trans

Non-binary

Other

Rather not say

Tell us about your personal relationship with psychedelics. How do you use these molecules? *

Tell us in your own words the type of guide you are: *

What kind of experiences do you facilitate?

1:1 Journeys

Group Experiences

Ongoing coaching with psychedelics

Retreat Center

Online journey support/sitting

Microdosing coaching

Medication tapering

Preparation and/or integration

Family and/or couples work

Other

What kind of support do you provide?

Microdose support

Macrodose support

Preparation support

Integration support

Other

Are you willing to travel to work with clients? *

In-state/province

Out of state/province

Out of country

No, people come to me

Remote

Do you work with only legal substances? *

I am licensed in legal modalities of psychedelics

I work as an underground practitioner

Both

Prefer not to say

Describe your core offer as a guide: *

What is the price-point of your core offer? *

> $500

$500 - $2000

$2000 - $5000

$5000+

What medicine do you specialize in?

Ketamine

Psilocybin

Ayahuasca

NN-DMT

LSD

MDMA

2-CB

Huachuma / San Pedro

Iboga

5-MeO-DMT

Kambo

Hape

Cacao

Other

Please check the boxes for things you focus on:

Addiction and Substance Abuse

Anger Management

Anxiety

Autism

Bipolar

Birth & Post-Partum Support

Career Support

Couples Therapy

Creative Expression

Depression

Early Childhood Trauma

Eating Disorders

End of Life Support

Empowerment

Gender Identity

Grief / Loss

Healthy Relationships

Inner Child Work

Interpersonal Relationships

Life Transitions

Mood Disorders

OCD

Pain Management

Past Life Regression

Personal Development

Perspective Shifting

Psychedelic Preparation

Psychedelic Integration

PTSD

Racial Trauma

Sexual Trauma

Shame

Spiritual Exploration

Trauma Resolution

Unsure Yet

Other

Have you worked with people who have been clinically diagnosed with any of the following conditions?

ADD / ADHD

Anxiety

Bi-Polar Disorder

Depression

Schizophrenia

PTSD

Eating Disorders

OCD

Do you work with people on SSRIs, SNRIs, Benzodiazepines (or other anti-anxiety medications), mood stabilizers, antipsychotics? *

Yes

No

Explain your process in working with those on SSRIs,SNRIs, Benzodiazepines (or other anti-anxiety medications), mood stabilizers, antipsychotics? *

Do you specialize and/or work with the any of the following groups?

BIPOC

Children

Complex PTSD

Couples

Families

LGBTQ+

Men

Women

Seniors

Veterans

Other

None

Please select from the following any religious affiliations you have:

New Age Spiritual

Atheist

Agnostic

Christian (non-denominational)

Jewish

Muslim

Buddhist

Catholic

Hindu

Mormon

None

Other

Prefer not to say

Do you have any of the following Doctoral or Masters Degrees? *

D.Ac.

D.B.H.

D.Chem.

D.M.Sc.

D.Min.

D.P.C.

D.P.T.

D.S.W.

Ed.S.

M.D.

M.Ed.

M.M.F.T.

M.P.H.

M.S.Ed.

M.S.

M.S.N.

M.S.W.

N.D.

N.P.

O.T.D.

Ph.D.

Psy.D.

None

Other

Do you have any of the following Clinical Licenses? *

L.C.M.H.C.

L.C.P.C.

L.C.S.W.

L.M.F.T.

L.M.H.C.

L.M.H.P.

L.P.C.

L.P.C.C.

M.F.C.C.

None

Other

Experience: Have you completed any psychedelic training programs? *

Yes

No

Experience: Which of these psychedelic programs have you completed? *

Alchemy Community Therapy Center

ATMA Journey Centers

AWE

Being True to You

Blue Sage Health Consulting

CIIS

COMPASS Pathways

Cybin Embark

Fluence

Harvard KAP Training

Icahn/Mount Sinai

Innate Path

IPI

Institute of Psychedelic Therapy

Ketamine Research Foundation

MAPS

Microdose/Science of Psychedelics

MindSetting Institute

Mindpace / Numinus

Naropa University

NYU

Plant Spirit School

Polaris

PRATI

Psychedelic Coalition for Health

Psychedelic Psychology

Psychedelic Sitter School

Psychedelic Somatic Institute

Psychedelics Today / Vital

SCPTR

SoundMind Institute

The Guiding Presence

The Michener Institute

The Moxie School

The Psyched Soul

Third Wave

UC Berkely

Zendo Project

Other

Experience: List the psychedelic organizations, groups, and associations that you participate in or are a member of: *

Please upload your client documentation, including intake forms, preparation forms, integration forms, additional resources, etc

Please drop in the following URLs that are applicable:

Website URL

LinkedIn URL

Facebook URL

Instagram URL

What and for how long were you in relationship with psychedelics prior to becoming a practitioner? *

What is your favorite molecule and why? *

Tell us a bit about your best and worst psychedelic experience? *

What is your level of transparency regarding your work with psychedelics? For example, do your friends and family know what you do? *

Speaking of family, tell us a bit about your relationship to your own. *

What is your current view of society? *

Tell us a bit about your relationship to religion. *

How do you perceive reality? *

What does your dream practice look like? *

How do you define success? *

What do you love about yourself? *

What is an area of awareness you’re improving? *

What are some of your goals as a practitioner? *

Walk us through a container with you. What does it look like? *

Tell us anything else you’d like us to know about you *

How can we improve this form? *

Thank you for your energy and honesty.

Received in gratitude.

We’ll be in touch.