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Reiki Client Information Form

Select 3 preferred days and times, preferably between 6 pm - 9 pm PST but other times can be arranged upon request.
Preferred contact type for Reiki session?

I understand that Reiki is a simple, gentle, hands-on 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 psychological ailment I may have. I understand 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. I understand that each person has different experience after reiki and I may or might not feel or experience anything at all after a reiki session. I give Sheetal Berg permission to perform Reiki energy healing work on me.

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Privacy Notice

 

No information about any client will be discussed or shared with any third party without written consent of the client or parent/guardian if the client is under 18.

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