Reiki Booking Form

First name

Last name

Pronouns

Emergency Contact

Have you ever had a Reiki session before?

If yes, when was your last session?

Number of previous sessions

Do you have a particular area of concern or reason for visit?

Do you have any sensitivity or allergies?

By attending a Reiki Session with us, you acknowledge and agree to the following terms and conditions:

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.

If there is there anything your practitioner should know please give details below.

By attending a Reiki Session, you acknowledge that you have read and agreed to these terms and conditions and are participating at your own risk.

If you have any questions or concerns about anything listed in this form, please get in touch via info@maii.uk