Reiki Consent

Consent Agreement for Reiki Treatment

I, the undersigned, acknowledge the following:

1. I understand that all medical diagnoses and treatments should be performed and recommended by a licensed medical physician.
2. I recognize that Reiki is intended to reduce stress, promote relaxation, and restore balance to my energy system. It is not a substitute for any prescribed medical treatment.
3. I am aware that the benefits of each Reiki session may vary and may not always be immediately noticeable.
4. I hereby give my Reiki Practitioner permission to conduct sessions with the goal of helping me relax and achieve balance.

By signing below, I confirm my understanding and consent to participate in Reiki treatment.

Please enable JavaScript in your browser to complete this form.

Name *

First

Last

& Date Email

Phone

Email *

Reiki & Contact Consent *

• Yes, I consent to receive Reiki. I understand that I also subscribe to the Serenity Empowerment newsletter and can unsubscribe anytime.

Signature *

Type your full name to use as your signature.

Date *

Submit