Reiki & Sound 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 & Sound Session with us, you acknowledge and agree to the following terms and conditions:

You understand that Reiki is a simple, gentle, hands-on energy technique that is used for stress reduction and relaxation.
You 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. You understand that Reiki does not take the place of medical care. It is recommended that you see a licensed physician or licensed health care professional for any physical or psychological ailment I may have. You understand that Reiki can complement any medical or psychological care I may be receiving. You also understand that the body has the ability to heal itself and to do so, complete relaxation is often beneficial. You 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.
You are voluntarily participating in this session and understand that it involves the use of sound and vibration, which may cause physical or emotional discomfort.

You are aware that sound healing is not a substitute for medical treatment and does not diagnose, treat, or cure any physical or mental illness.

You take full responsibility for your physical and emotional well-being during the session and release the organiser, facilitator, and venue from any liability for any injury, harm, or damage that may occur as a result of your participation.

You agree that you are not suffering from any of the conditions listed or have written consent from a healthcare professional stating that you are able to participate in sound healing sessions. Conditions: Epilepsy, history of seizures or any condition that could be triggered by sound, a pacemaker, first or third trimester of pregnancy,
psychosis or severe mental health conditions.

You agree to disclose any pre-existing medical conditions or disabilities that may be affected by the use of sound and vibration, in advance and to inform the facilitator immediately if you experience any discomfort during the session.

You understand that the session may include the use of photographic or audio/video recording equipment and that your image or voice may be captured and used for promotional purposes.

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

By attending a Reiki & Sound 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

Yes, subscribe me to your newsletter.