Why a Pre-Journey Evaluation Can Be Important

Most people can participate in a psilocybin journey without significant health risks, but for some, a medical or medication review is essential. Pre-journey evaluations help ensure client safety by identifying potential health concerns, clarifying medication interactions, and supporting facilitators in making safe, informed decisions about dosage.

These evaluations are especially important when clients:

  • Are taking prescription medications, particularly psychiatric, cardiovascular, or seizure-related drugs

  • Have a complex or unstable medical condition

  • Have a history of serious mental illness

  • Are unsure about how psilocybin might interact with their health or medications

By consulting with a qualified medical or pharmacy professional, clients can receive a personalized risk assessment, safety plan, andโ€”when appropriateโ€”guidance on tapering or adjusting medications before their session. Facilitators at Vital Reset do not provide medical advice, prescribe medication, or make changes to a clientโ€™s prescriptions. These decisions should be made with a licensed healthcare provider.

Trusted Professionals for Pre-Journey Evaluations

Below is a list of clinicians we refer clients to for medical or medication evaluations before psilocybin journeys. These providers work independently from Vital Reset and set their own fees and policies. The fees on this blog post may be incorrect. Prices are correct as of August 2025.


Physicians

Seth Mehr, MD โ€“ $235
Website
Offers comprehensive medical consults and screenings for individuals interested in psilocybin journeys.

  • No referral neededโ€”clients can schedule directly

  • Full health intake and medical record review

  • Communicates with specialists as needed

  • 1-hour consultation with the client

  • Provides written risk assessment and safety plan for the facilitator/service center

Michael Hauty, MD โ€“ $150
Surgeon, Emergency Medicine physician, and licensed psilocybin facilitator at Vital Reset.


Registered Nurse

Ann Chatterton, RN โ€“ $200
Website
Facilitator at Vital Reset and specialist in psychedelicโ€“medication interactions.

  • 90-minute consultation

  • Reviews current prescriptions for potential interactions with psilocybin

  • Provides psilocybin strain and dosage recommendations


Pharmacists

Benjamin Malcolm, PharmaD, MPH โ€“ $300
Website
Nationally recognized expert in psychedelic pharmacology.

  • Reviews medication safety and potential interactions

  • Provides recommendations for safe participation in psilocybin journeys

Trina Nguyen, PharmaD, BSc Pharmacy โ€“ Donation Basis
Website
Specializes in integrating pharmaceutical and psychedelic knowledge.

  • Offers consultations on a donation basis

  • Focus on medication management and harm reduction


How to Share This Information

If you are a physician, therapist, or other provider working with clients considering psilocybin services, you may share this resource directly. Clients should contact the provider that best fits their needs, schedule a consultation, and bring any documentation or recommendations to their facilitator at Vital Reset before their journey.

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