I understand that the treatment being provided is offered for the purpose of stress reduction, and general well being.
I understand that there is no implied or stated guarantee of success or effectiveness from treatment given, or from a series of treatments.
I understand that the treatment being provided is NOT a substitute for conventional medical care and that it is recommended that I work with my primary caregiver for any condition I may have.
I have declared all medical conditions that I am aware of, and will inform the practitioner of any changes in my health status.
I understand that the practitioner does not diagnose illness or disease and does not prescribe medical treatment or pharmaceuticals.
You may ask questions about the session at any time, before, during or after the session.
You may end the Reiki session at any time.
I understand that this treatment includes the practitioner placing hands on different parts of my body in a safe manner.
I agree to these conditions for the treatment session provided by my Reiki practitioner.
I declare that it is my choice to receive Reiki Treatment, that I am aware of the conditions under which it is given, and I give my consent by signing and dating this form.
