Reiki Consent and Acknowledgment
I understand and agree to the following:
I understand that Reiki is a gentle, hands-on or hands-off energy healing technique used for stress
reduction, relaxation, and personal growth. I acknowledge the following:
1. I understand that Reiki is a complementary healing modality and not a substitute for medical
diagnosis, treatment, or therapy.
2. I understand that the practitioner is not a licensed medical doctor, psychologist, or other
healthcare professional, and does not diagnose or prescribe medication or medical treatments.
3. Reiki may involve light, non-invasive touch or hands placed slightly above the body. I may request
no touch at any time.
4. Reiki may promote relaxation, emotional release, and increased well-being, but results vary and
are not guaranteed.
5. I agree to communicate any discomfort or concerns during the session to the practitioner
immediately.
6. I understand that I am responsible for my own health and well-being and for seeking appropriate
medical or psychological care when necessary.
7. I have disclosed any medical conditions, injuries, or concerns that may affect my Reiki session.
Confidentiality
All information shared during sessions will remain confidential and will not be disclosed without your
written consent, except as required by law.
Client Consent
By signing below, I acknowledge that I have read, understood, and agree to the information stated
above. I consent to receive Reiki from the practitioner and release them from any liability associated
with the session(s).