Member Agreement

I declare the following to be true:

I am at least 21 years of age.

"PC" means Psilocybe Cubensis and will be used throughout the rest of the agreement.

 I am aware that PC are not an approved therapeutic agent in the United States.

I wish to consider the use of PC mushrooms as medicine despite potential side effects.

I am legally able to make all of my health decisions on my own.

I am in a sound state of mind and able to confidently make safe health decisions on my own.

I am aware that certain local jurisdictions in the United States have decriminalized the possession and use of PC mushrooms. I will consume my mushrooms in one of these areas and don't support any claim(s) made against if I consume PC outside of one of these jurisdictions.

I agree not to make any claim or commence any proceedings against / family physicians / or any other involved physicians in relation to my use of PC mushrooms.

I do not support any claims made by my family, friends or other interested parties against said and physicians. I release Neuro Gold / my family physician / any other involved physicians from any and all actions, claims, causes of actions, complaints (even by family and friends) and demands for damages, loss, or injury whatsoever arising directly or indirectly as a consequence to my use of PC mushrooms. This release from liability is to be binding on heirs, executors and assigns.

SIDE EFFECTS CONSENT (I declare the following to be true)

 I acknowledge there has only been limited research into the safety of PC mushrooms and that the safety and efficiency of dried PC mushrooms for medical purposes has not been established. No notice of compliance has been issued for PC mushrooms in the United States. I understand and accept the following possible consequences of PC mushroom use including but not limited to: impaired judgment, anxiety, paranoia, sedation, decreased inhibitions, drug tolerance, possible dependence, possible withdrawal symptoms, the need for possible vacation due to inability to work, an increase or decrease in appetite leading possibly to weight gain or loss, an impaired immune system, interaction with other drugs, the possible need to decrease the dose of some medications (with the supervision of my primary care physician), dysphoria (an unpleasant emotional state), depleted energy, impaired short term memory, and lung damage (smoked form).
 I acknowledge that all of the potential health risks associated with PC mushrooms may not yet have been identified and that PC mushrooms may have an adverse effect on my health in the future.
 I acknowledge the use of PC mushrooms may have an effect on my motor skills. Consequently, I will not operate a motor vehicle, handle machinery or perform other risky activities if impaired with PC mushrooms.
 I understand that the use of PC mushrooms may be dangerous during pregnancy. I agree to notify my primary care practitioner if I have any significant side effects arising from my use of PC mushrooms.