Welcome to Your Reiki Healing Session!

Name

First NameLast Name

Emergency Contact Name

First NameLast Name

Emergency Contact Phone Number

example: (61) 411 111 111Format: (00) 000 000 000.

Have you ever had Reiki before?

What is your main reason for seeking Reiki at this time?

Do you have difficulties lying on your back for the entire session?

Have you been experiencing or been diagnosed with psychosis?

Reiki treatment can be done fully hands-off or hands-on respectfully (such as feet, shoulders, knees for example). Please indicate your preference:

Is there anything you would like your Reiki practionner to know before beginning?

How did you hear about Reiki Flo?

Purpose: Reiki is a gentle, holistic energy technique that promotes relaxation and overall well-being.

Medical Disclaimer: Reiki is not a substitute for medical or psychological care. Your Reiki practionner does not diagnose, prescribe, or perform medical treatments. You are encouraged to seek adequate diagnosis and medical attention from a licensed healthcare professional. Likewise, it's recommended that you do not alter your current treatment plans without consent and oversight from your doctor / qualified mental health practitioner.

What to Expect: The practitioner may place hands lightly on or just above your body. Any touch will be professional and respectful.

Outcomes: Generally safe; some may experience mild warmth, tingling, or emotional release. Notify your practitioner of any discomfort.
ReikiFlo does not guarantee any specific therapeutic outcome. By booking a session, you acknowledge that fees are charged for the practitioner’s time, expertise, and services provided, regardless of the outcome. ReikiFlo is not liable for any decisions or actions taken based on information discussed during a session or on the ReikiFlo website.
Service policy: ReikiFlo reserves the right to refuse or discontinue services at its discretion. Clients who attend a session under the influence of alcohol or drugs will not be treated.

In case of rare scheduling conflicts, ReikiFlo may need to reschedule your appointment. You will be contacted and offered alternatives (rescheduling/refund).

Confidentiality:
All information shared is confidential, except as required by law.

I acknowledge that I have read and understood this information and consent to receive Reiki.

Date Completed

Date

Client Information