RavenLani Reiki Healing's Acknowledgment and Consent Form

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Please read and respond to each question to acknowledge and give consent to prior to your Reiki session. If you have any questions while completing this form, please send an email at ravenlanitarot@gmail.com or text 678-489-1124.

If you have not already done so, please order your session prior to filling out this form. https://ravenlanitarot.com/products/reiki-healing

Email *

First Name *

Last Name

Birthday *

YYYY

How did you hear about us? *

I give you permission to conduct the Reiki healing session to also notify me of the areas where my energy is blocked, misaligned, or inactive. *

Yes, I do

No, I do not

Are you pregnant or planning to get pregnant? *

Yes, I am pregnant

Yes, I am trying to get pregnant

No, I am not nor trying to get pregnant

I am aware that RavenLani uses the "hands-off" Reiki method. *

Yes, I understand

No, I do not understand

I am fully aware that Reiki healing and attunement does not take the place of professional medical or psychological assistance. *

Yes, I understand

No, I do not understand

Today's Date *

YYYY

Send me a copy of my responses.

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