Reiki agreement
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 in the following circumstances:
where the client gives consent for the confidence to be broken including contact in GP
where disclosure on the part of the therapist is required by UK law
where therapists considers the client and imminent danger to themselves or others
THERAPIST AGREEMENT
I will
ensure that the care of my client remains my primary concern
ensure that a professional therapist-client relationship is to be adhere to at all times
act in the best interest of my client at all times
maintain appropriate and effective communication with my client.
carry out my duties in a professional and ethical way
behave with integrity and honesty at all times
explain fully to clients in advance of any treatment: my fees, terms of payment and any charges which might be levied for non attendance or cancelled appointments (see cancellation policy below)
CLIENT AGREEMENT
I will
arrive at my schedule session on time
tell the truth at all times as it's within my best interest to do so
respect my therapist and act in a respectful manner at all times
maintain appropriate and effective communication with my therapist
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 licensed medical professional.
that Reiki does not take the place of medical care. It is recommended that I see a registered 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
therapy may be terminated at the therapist’s discretion where deemed appropriate
a professional therapist client relationship is to be adhere to at all times
that any physical or verbal abuse will not be tolerated
CANCELLATION / REFUND POLICY
All therapy sessions must be paid at least 48 hours in advance in order to secure your booking.
Refunds will be given if 24 hours notice is given prior to session time.
Client Full Name: __________________________
Therapist Full Name: __________________________
Client Signature: __________________________
Therapist Signature: ___________________________
Date: ___________________________________ Date: _______________________________________
Updated November 2024
