I, the undersigned, understand and acknowledge the following:
- Nature of Reiki: I understand that Reiki is a holistic healing practice involving the transfer of energy through the hands of the practitioner to promote relaxation, stress reduction, and balance in my energy systems. It is a complementary therapy and not a substitute for medical care.
- Health Conditions: I have informed the practitioner of any known medical conditions, physical or emotional, that may be relevant to the treatment. I understand that the practitioner does not diagnose, treat, or prescribe medication for any medical conditions.
- Reiki Treatment: I acknowledge that the practitioner will use gentle touch or may work in the energy field around my body. The session may involve lying down or sitting while the practitioner places hands on or near my body, depending on the treatment plan.
- Remote Treatment: I understand that during remote treatment, the practitioner will be channelling energy into my body remotely.
- No Guarantees:
Reiki sessions are not guaranteed to provide specific outcomes or cure any conditions. - Confidentiality: All information shared in the course of the Reiki session will be kept confidential, except when required by law. The practitioner will not share personal health or treatment details without my consent.
- Personal Responsibility: I am solely responsible for my own well-being and understand that Reiki is not a substitute for medical diagnosis, treatment, or care. I will continue to consult my physician or licensed healthcare provider regarding any medical concerns.
- Possible Side Effects: Reiki is generally considered safe. However, I understand that after a session, I may experience feelings of relaxation, emotional release, or other minor physical sensations. If I experience any discomfort or adverse reactions, I will inform the practitioner immediately.
- Voluntary Participation: I am participating in the Reiki session voluntarily and understand that I can withdraw from treatment at any time.
- Release of Liability: I, the undersigned, agree to release, indemnify, and hold harmless the Reiki practitioner, their employees, agents, and anyone associated with the practice from any claims, demands, or causes of action related to my participation in Reiki sessions, except in cases of gross negligence or misconduct.
Acknowledgment and Consent Form
Consent to Treatment
By signing below, I consent to receive Reiki treatments and acknowledge that I have read, understood, and agree to the above information. I also confirm that I have been provided an opportunity to ask questions regarding the treatment.