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CLIENT WAIVER FORM ACKNOWLEDGMENT & ENERGY WORK CONSENT
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Email *
Full Name *
Date of Birth *
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Cell Number *
How did you hear from us? *
Have you ever had a Reiki Session before? If yes, when was the last session? *
Do you have a particular area you want us to focus on? (physically and/or energetically)
*
Are you sensitive to touch? *
Are you sensitive to Essential Oils, Sage or Palo Santo?
 *
Are you currently under the care of a physician and taking medications?
 *
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