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Reiki Fusion + Sound Therapy Intake Form

Reiki Client Intake Form

Have you received a reiki session before?

Do you exercise?

Are you sensitive to aromas?
Are you sensitive to touch?
Are you sensitive to sound?

I understand that Reiki is a gentle, hands-on energy technique used for relaxation and stress relief. Reiki practitioners do not diagnose conditions, provide medical treatment, or replace care from a licensed medical professional. I understand that Reiki can be used alongside medical or mental health care, but I am responsible for seeing a licensed healthcare provider for any medical or psychological concerns. I understand that the body can heal itself and that deep relaxation can support this process. I also understand that ongoing or long-term issues may require multiple Reiki sessions.

A copy of the Client Bill of Rights is attached for my review, and I understand I may request additional clarification at any time.

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