Informed Consent for Reiki Treatment

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Please complete this form before your 1st Reiki appointment.

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Before your session, please read over and check each the following indicating your understanding: *

What is Reiki? The Usui System of Reiki Healing is a palms-on healing practice. Reiki is an ancient laying-on-of-palms healing technique that uses the Universal life force energy to balance the subtle energies within our bodies and to heal. Reiki practitioners act as a conduit or channel through which Reiki energy travels. The intended result of receiving Reiki is a balanced physical, mental, emotional, and spiritual being. Reiki is being used today in clinics and hospitals all over the world to support health, wellness and transition.

What happens during a distance Reiki treatment? During the distance reiki treatment, you will prepare a quiet a peaceful place for you to either sit or lay. Have water, tissues, a journal, and a blanket readily available. Release all expectations and relax into your belly by taking a few deep breaths. Set your intention for the session and leave the rest to Spirit.

What happens during an in-person Reiki treatment? During a Reiki treatment, you will lay fully clothed on a massage table, covered in a blanket if you choose, listening to soothing music. Your Reiki practitioner will lay their hands on your body in a series of hand positions to deliver Reiki energy. A Reiki treatment generally covers first your head then the front of your body and finally the back of your body. If the reclined position is uncomfortable, Reiki can be performed while you sit in a chair or on a stool.

What does Reiki feel like? Reiki tends to feel warm and profoundly relaxing. You may feel the hands of the Reiki practitioner become hot or tingly. Some people describe a floating sensation and some see colors or shapes during the session. Some people fall asleep. Some experience emotional release. There is no expected experience- Reiki treatment is unique for each individual who receives it. The most common results of Reiki treatment include: • Perceived reduction in stress • Increased relaxation • Enhanced sense of balance, centeredness and calm.

What are the benefits of several sessions? Just like meditation, or movement arts, the effects of Reiki are cumulative. While one session can work wonders, repeated, regular Reiki treatments can invite significant improvement. As an example: if you exercise for an hour, you will receive benefit. If you exercise every day for a month, the results will be much more profound. Reiki works similarly – regular sessions support well-being in every way.

Can reiki "cure" me? Reiki is a complementary medical art that works well alone as well as in concert with other treatments. Healing is often the result of gentle shifts in awareness, release of emotional patterns, achievement of new understanding, and daily practice. Reiki is not a replacement for traditional medical treatment.

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Check the box acknowledging each of the following statements. *

I understand that Reiki is a relaxation and stress reduction technique. I acknowledge that treatments administered are only for the purpose of helping me relax and to relieve stress. Reiki practitioners do not diagnose conditions, nor do they prescribe substances or perform medical treatment, nor interfere with the treatment of a licensed medical professional and are not licensed by the state of New Jersey. I further understand that Reiki treatment received from Militant Unicorn at Militant Universe are not to be construed as a substitute for medical examination, diagnosis or treatment. It is recommended that I see a licensed health care professional for any physical or psychological ailment I may have.

Having read, completed and understood the foregoing, I request to receive Reiki treatment. I understand that my practitioner is providing Reiki treatment for me at my request, and is not responsible for the outcome of the Reiki session. I agree to hold 3SEC Mgmt harmless for any intended or unintended result.

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