Liability Waiver

Prior to your first appointment, please read the waiver, fill in your contact information, date, and click the “Submit” button. Thank you.

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.  

Name *
Name
Date *
Date
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Payment Policies

 Payment Policies:  Payment is due at time of session.  Payment types include cash, check, Paypal and Stripe (credit cards).  For credit card or Paypal, click here

 


Confidentiality

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