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Reiki Client Intake Form

Are you currently under the care of a physician?
Have you ever had a Reiki session before?
Are you sensitive to perfumes or fragrances?
Are you sensitive to touch?

Privacy Notice:
No information about any client will be discussed or shared with any third party without written consent of the client or parent/guardian if the client is under18.

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©2022 Power to the Healing

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