Reiki Consent & Liability Waiver

Reiki is a healing and balancing energy transmitted through the palms of the hands that lifts your spirits and allows you to come into balance. Beyond relaxation, Reiki offers balance with a sense of inner peace and higher consciousness. This experience is for those seeking ways to achieve peace of mind and feel grounded and rooted into their own identity.

How to Prepare for your session:

Wear comfortable clothing and be prepared to remove your shoes.
Come to your session with an open mind and open heart. We only come from a place of love and support.
Please use the restroom before your session.
When time is permits you are welcome to share as much as you'd like before and after your session.
You're welcome to bring a notebook to reflect.

What to Expect:

You will be lying down fully clothed on our warm massage table with a plush blanket or a soft sheet.
I may perform a smudging ritual, which is to burning sacred herbs like sage or palo santos to cleanse our space and ourselves of negative energy.
Reiki typically for about 40 minutes with time to provide feedback from soul channeling and chakra readings and ask questions.
During a session, I may gently places my hands, palms down, on or just above your body in specific energy locations.
I will be playing instruments during your session and a light guided meditation to get into a meditative state.
You will also be silence during the Reiki ritual.

Name of your Emergency Contact*

First NameLast Name

Phone Number of your Emergency Contact*

Please enter a valid phone number.

Are there any concerns we would need to be aware of.

Have you experienced Reiki before?

YesNo

Are you sensitive to fragrances / essential oils/ oils / sage?

YesNo

What is your reason for receiving Reiki with Juli-Ann? What are you seeking through Reiki?

Would you prefer music/instruments?

Yes music and instruments.No music and instruments.Yes to music, No to instruments.No to music, Yes to instruments.

Are you comfortable with healing crystals?

YesNo

I, First Name* Last Name* the undersigned, understand that Reiki is a gentle, complementary energy healing practice intended to promote relaxation, stress reduction, and balance. I acknowledge and agree to the following:

Reiki is not a substitute for medical care. It is not intended to diagnose, treat, or cure any physical or mental health condition.
I understand that Reiki is a supportive tool, not a replacement for professional healthcare.
I understand that Reiki practitioners do not diagnose conditions, prescribe substances, or perform medical treatment.
Reiki involves light, non-invasive touch, or hands placed slightly above the body. I may choose to receive Reiki with or without physical contact.
I understand that my participation in this session is voluntary, and I may stop the session at any time.
I release Juli-Ann Nerida of Nouvelle Skin Care and Reiki and The Nouvelle Beauty & Wellness Collective from any liability in the event of any unintended outcomes.

By signing below, I confirm that I have read and understand this consent and waiver form and agree to receive Reiki under these terms.

Signature* Date*