Reiki & Sound Therapy Client Intake Form
  • Reiki & Sound Therapy Client Intake Form

    Welcome. This form helps ensure your comfort, safety, and the most supportive experience possible during your Reiki or Sound Therapy session. Reiki and Sound Therapy are gentle, integrative wellness modalities that support relaxation, balance, and overall well-being. All information provided is strictly confidential and used solely to support your session and wellness care.
  • Contact Info

  • Format: (000) 000-0000.
  • What is Reiki and Sound Therapy?

    Reiki is a gentle, integrative energy modality that supports relaxation, balance, and overall well-being. During a session, energy is directed through light touch or hands held slightly above the body.

    Sound Therapy uses therapeutic sound frequencies to promote relaxation and energetic balance.

    These modalities support the body’s natural ability to restore balance but are not a substitute for medical care.

    Empowered Energy & Wellness services are holistic in nature and are not intended to diagnose, treat, or cure medical conditions. Clients are encouraged to seek licensed medical care as needed.

    Occasionally, individuals may experience a temporary “healing response,” such as fatigue, emotional release, or mild physical symptoms, as the body integrates energetic shifts. These responses are typically temporary.

    Payment is expected at time of service unless prior arrangements have been made. A minimum of 24-hour notice is required for cancellations.

    All information provided is strictly confidential.

     

    By signing below, I acknowledge that I have read and understand the above information and voluntarily consent to receive Reiki and/or Sound Therapy services.

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