Name *

First Name

Last Name

Phone *

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I understand that Reiki is not a substitute for seeking medical and/or receiving proper medical treatment. I understand that Reiki is a form of relaxation, gentle energy technique that is used for alleviating stress, pain management, achieving balance and deep relaxation. I understand that Reiki practitioners do not diagnose conditions nor do they prescribe or perform medical treatment, prescribe substances, nor interfere with the treatment of a licensed medical professional. It is recommended that I see a licensed physician or licensed health care professional for any physical or psychological ailment I may have. I agree that Reiki can complement any medical or psychological care I may be receiving. I also understand that the body has the ability to heal itself and to do so, complete relaxation is often beneficial. I acknowledge that long term imbalances in the body sometimes require multiple sessions in order to facilitate the level of relaxation needed by the body to heal itself. *

Yes, I understand.

No, I do not understand.

Privacy Notice: No information about any client will ever be discussed or shared with any third party without written consent. *

I understand.

I do not understand.