$100.00 USD

Have you ever had a Reiki session before?YesNo

I am... (choose one)18 years old or older.16 or 17 years old and will be accompanied by a paying parent or guardian.

Do you have a particular area of concern?

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 healthcare 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 have read the above paragraph, and I acknowledge and consent to its contents.

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Is there any additional information we should be aware of? This could involve the location where we'll meet, whether this is intended as a gift for someone, or any other alternative preferences you would like to indicate.

Signed: I agree to type my full name below to act as my signature for the above Reiki Client Information Form.

One 1-hour Distance Reiki Session

One Reiki Session

What you'll get:

One 1-hour distance Reiki session via Zoom
FREE bonus Reiki session when you refer a friend and they pay for their first Reiki session with Teresa*
*Your name and their name must be mentioned at time of booking.