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Consent Form - Please Fill Out Prior To Service.

Reiki - Sound Healing & ALL Wellness Modalities Client Intake Form

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 under 18.

Please fill out the following form
in order to participate in our services.

Have you ever had a Reiki or Charka Healing Session before?
Have you ever had a Sound Healing or VAT Session before?
Are you suffering from a medical condition, illness, or injury?
Are you comfortable with a light touch during any of our wellness sessions?
Are you sensitive to incense or essential oils?

Thanks for submitting!

Awaken Your Inner Mystic with Us

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