Thank you for booking your Reiki session.
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Please take a few moments to complete this form so I can understand a little more about you and ensure your session is comfortable, supportive and tailored to your individual needs.
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All information you provide will be treated confidentially and handled in accordance with my Privacy Policy.
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Please complete the form below at your own pace.
Before completing your intake form, please take a moment to read my Appointment Terms & Conditions.
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Health information is optional. Please only share health or medication details if you agree to the Health & Wellbeing Information consent at the end of this form. You may leave these questions blank.
Emergency Contact
Please provide their name, contact number and relationship to you.
Important Information
Reiki is a complementary therapy intended to support relaxation and general wellbeing. It is not a substitute for medical, psychological or other professional healthcare.
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Reiki practitioners do not diagnose medical conditions, prescribe medication or recommend changes to medical treatment. If you have concerns about your physical or mental health, please seek advice from your GP or another appropriately qualified healthcare professional.
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Please continue with any medication or treatment prescribed or recommended by your healthcare professional. Any changes to medication or treatment should always be discussed with the appropriate healthcare professional.
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Please let me know about any health condition, injury, pregnancy, mobility requirement or other circumstance that may affect your comfort during your Reiki session.
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Your personal information will be handled confidentially and securely in accordance with my Privacy Policy and UK data protection requirements.​
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