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Reiki 
First-time Client Form

You will receive an email after booking your Reiki session that will include some general best practices in preparing for your session. It will also include a link for the first-time Reiki form below - you can use either the link in the email or the form below to complete the form. We ask that you complete and submit the form at least 24 hours prior to your scheduled session.

Have you experienced a Reiki session before?
Yes
No
Do you experience discomfort lying on your stomach or back for extended periods of time (30-60 minutes)?
Yes
No
Do you have any specific intentions for this session?
Are you currently experiencing any physical pain?
Yes
No
If receiving an in-person session, please confirm if you would prefer a hands-on or hands-off session:

I understand that the Reiki session is provided for the basic purpose of relaxation and relief of tension and stress. If I experience any pain or discomfort during this session, I will immediately inform the practitioner so that adjustments can be made for my level of comfort. I further understand that Reiki should not be construed as a substitute for medical examination, diagnosis, or treatment, and that I should see a physician or other qualified medical specialist for any physical or mental ailment that I am aware of. I understand that Reiki practitioners are not qualified to diagnose, prescribe, or treat any physical or mental illness, and that nothing said in the course of the session should be construed as such. I affirm that I stated all my known medical conditions and answered all questions honestly. I agree to keep the practitioner updated as to any changes in my medical profile and understand that there shall be no liability on the practitioner's part should I fail to do so.

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