JingTone Client Intake Form

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Consent and Agreement

I understand that Reiki is a simple, gentle, hands-on energy technique that is used for stress reduction and relaxation. I understand that Reiki practitioners do not diagnose conditions, prescribe or perform medical treatment, nor interfere with the treatment of a licensed medical professional. I understand that Reiki does not take the place of medical care. It is recommended that I see a licensed physician or licensed health care professional for any physical or psychological ailment I may have. I also understand that Reiki can complement any medical or psychological care I may be receiving.

I acknowledge that, though Reiki practitioners may discuss potential energetic imbalances in my body, it is not a substitute for professional medical advice, diagnosis, or treatment. I agree to seek the advice of my physician or other qualified health provider with any questions I may have regarding a medical condition.

I understand that during a Reiki session, I will remain fully clothed, and the practitioner will place their hands on or slightly above my body in a series of hand positions. I understand that I may experience sensations such as warmth, tingling, or deep relaxation during the session, but these sensations are not guaranteed and can vary from person to person.

I acknowledge that any information shared with the practitioner during the session will be kept confidential and used solely for the purpose of tailoring the session to my needs. I understand that I have the right to ask questions about any aspect of the session and that I may stop the session at any time.

I agree to inform the practitioner of any discomfort or concerns during the session so that adjustments can be made to ensure my comfort and safety. I understand that Reiki is a holistic therapy and that results can vary. No specific outcomes or results are guaranteed.

By signing this form, I give my consent to receive Reiki treatments and acknowledge that I have read, understood, and agree to the terms stated above.