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Client Information Form

Are you currently under the care of a physician?
Have you ever had a Reiki session before?

I understand that Reiki is a simple, gentle, hands-on or distant energy technique that is used for stress reduction and 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. I understand that Reiki does not take the place of medical care. It is recommended that I see a licensed physician or licensed health care professional for any physical or any psychological ailment I may have. I understand that Reiki can compliment 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 the long term imbalances of the body sometimes require multiple sessions in order to facilitate the level of relaxation needed by the body to heal itself.

Thanks for submitting!

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