CLIENT WAIVER FORMS REIKI ENERGY CONSENT ACKNOWLEDGMENT
 AND COVID 19 PROTOCOL AGREEMENT Name: Telephone: Address: City, State, Zip: Email: Are you currently under the care of a physician? Yes ___ No ___ Current Medications and dosage_______________________________________ How did you hear about me?________________________________________ Have you ever had a Reiki session before? Yes ___ No ___ If yes, when was your last session? ____________ Do you have any particular areas of concern? _____________________________________________________________ _____________________________________________________________ I understand that Reiki (pronounced RAY-key) is a Japanese form of relaxation. It is a hands-on, gentle energy technique that is used for alleviating stress, pain management, stress reduction and deep relaxation. I understand 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. It is recommended that I see a licensed physician or licensed health care professional for any physical or psychological ailment I may have. I understand that Reiki can complement any medical or psychological care I may be receiving. I also understand 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. I understand that the practitioner will be remotely sending energy to me for the duration of my Reiki session(s). Signed: ________________________________ Date: ___________________________ Privacy Notice: No information about any client will ever be discussed or shared with any third party without written consent. COVID-19 Awaken The Light is following all regulations and guidelines as ordered by State and Local Governments, The Colorado Health Department, The CDC, & DORA. Awaken The Light cannot guarantee full protection from COVID-19 transmission. As a client (“I”), I am voluntarily electing to partake in a Reiki session with Awaken The Light and I acknowledge and consent to some risk for contracting COVID-19. I agree to hold harmless Awaken The Light and all other third parties, other than myself, for my decision to partake in a reiki healing session with Awaken The Light. I understand that possible exposure to COVID-19 before/during/after my session may result in the following: a positive COVID-19 diagnosis extended quarantine/self-isolation additional tests hospitalization that may require medical therapy, Intensive Care treatment, possible need for intubation/ventilator support, short-term or long-term intubation, other potential complications, and the risk of death. Additionally, I understand that COVID-19 may cause additional risks, which may not currently be known at this time, in addition to the risks described herein. I affirm that myself, nor anyone in my household, has been diagnosed with COVID-19 in the past 30 days; myself, nor anyone in my household, has experienced any COVID-19 symptoms in the past 14 days; I have not been out of the country in the last 30 days or been in direct contact with anyone who has; and I have not been in contact with anyone with confirmed or presumptive positive COVID-19 in the past 30 days. I will affirm the above statements prior to class each and every time I have a session. Signed: ________________________________ Date: ___________________________ Privacy Notice: No information about any client will ever be discussed or shared with any third party without written consent.

Book an appointment

Virtual 90 Minute Reiki Session

A 90 minute Virtual Reiki session is a full session where the client receives the treatment on the front of the body, head and back body via Zoom. The session starts with a brief consultation to tune into the intention for the session. The individual remains fully clothed while relaxing comfortably in their home. Reiki is transferred into the client through the practitioner's hands which helps in the improvement of the client's physical, mental and emotional body. This experience is different for each person and many have reported miraculous results. Reiki also works in conjunction with all other medical or therapeutic techniques to relieve side effects and promote recovery.

$90.00 $90 · 1 hour 30 minutes

60 Minute Reiki Session In-person

A 60 minute in person Reiki session is a full session where the client receives the treatment on the front of the body, head and back body. The session starts with a brief consultation to tune into the intention for the session. The individual remains fully clothed while relaxing comfortably on a massage table and aromatherapy is used. Reiki is transferred into the client through the practitioner's hands which helps in the improvement of the client's physical, mental and emotional body. This experience is different for each person and many have reported miraculous results. Reiki also works in conjunction with all other medical or therapeutic techniques to relieve side effects and promote recovery.

$60.00 $60 · 1 hour

90 Minute Reiki Session In-person

A 90 minute in person Reiki session is a full session where the client receives the treatment on the front of the body, head and back body. The session starts with a brief consultation to tune into the intention for the session. The individual remains fully clothed while relaxing comfortably on a massage table and aromatherapy is used. Reiki is transferred into the client through the practitioner's hands which helps in the improvement of the client's physical, mental and emotional body. This experience is different for each person and many have reported miraculous results. Reiki also works in conjunction with all other medical or therapeutic techniques to relieve side effects and promote recovery.

$90.00 $90 · 1 hour 30 minutes

Virtual 60 Minute Reiki Session

A 60 minute Virtual Reiki session is a full session where the client receives the treatment on the front of the body, head and back body via Zoom. The session starts with a brief consultation to tune into the intention for the session. The individual remains fully clothed while relaxing comfortably in their home. Reiki is transferred into the client through the practitioner's hands which helps in the improvement of the client's physical, mental and emotional body. This experience is different for each person and many have reported miraculous results. Reiki also works in conjunction with all other medical or therapeutic techniques to relieve side effects and promote recovery.

$60.00 $60 · 1 hour

C

Cara Pernas