REIKI CLIENT AGREEMENT
Partaking in therapy will require you to agree to this client agreement.
THERAPIST PROFESSIONAL INFORMATION
I am certified reiki practitioner to level 2 my lineage is: Mikao Usui- Taketomi Kanichi -Kimiko Koyama - Hiroshi Doi - Frans Stiene - Torsen Lange - Gwen Allison
I am fully insured by Balan’s insurance.
CONFIDENTIALITY INFORMATION
Client details are stored securely and all sessions will be conducted in the strictest of confidence and this confidence will be maintained in accordance with the Data Protection Act and the subsequent GDPR legislation except where disclosure is required by UK law or the client has given consent.
THERAPIST AGREEMENT
I will
act in the best interest of my client at all times and only work within the limits of my training
maintain effective communication with my client.
be professional and honest
CLIENT AGREEMENT
I will
arrive at my scheduled session on time
be honest and respectful
I understand:
that Reiki is a simple, gentle, hands-on energy technique that is used for stress reduction and relaxation
that Reiki practitioners do not diagnose conditions nor do they prescribe or perform medical treatment, prescribe substances, nor interfere with the treatment of a doctor or qualified healthcare professional.
that Reiki does not take the place of medical care. It is recommended that I see a doctor or other qualified healthcare professional for any physical or psychological ailment I may have.
that Reiki can complement any medical or psychological care I may be receiving.
that the body has the ability to heal itself and to do so, complete relaxation is often beneficial. I acknowledge that long term imbalances in the body sometimes require multiple sessions in order to facilitate the level of relaxation needed by the body to heal itself.
that therapist is not held accountable for results achieved or not achieved.
CANCELLATION / REFUND POLICY
All therapy sessions must be for at the time of booking.
Refunds and reschedules will be given if 48 hours notice is given prior to session time.
Client Full Name: ______________________________
Therapist Full Name: ____________________________
Client Signature: _________________ Date: __________
Therapist Signature: ______________ Date: __________
Updated November 2024
