Reiki Intake Form

Divine Flame Collective Client Intake Form

Name & DOB*

Email*

Phone Number*

Date of Appointment

How did you find us?*

Emergency Contact details*

Reason for Booking Reiki Session*

Have you had Reiki before*

What are you hoping to gain froom this session?*

Are you currently taking any medication?*

Reiki is generally hands off. Sometimes, your practitioner may gently place hands on your shoulders, legs, arms, head or feet. Is this ok?*

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Reiki Consent & Disclaimer

By completing the client intake form for my Reiki session, I acknowledge that Reiki is a gentle, complementary energy practice and is not a substitute for medical treatment or professional care. I take responsibility for my own wellbeing and consent to receive Reiki, understanding the importance of the Reiki client consent.

📍 Bahrs Scrub, Queensland

Helping people find moments of calm in busy lives through Reiki Energy Sessions and thoughtfully crafted soy candles.

Professional Reiki Sessions in Bahrs Scrub, Queensland

Serving Gold Coast, Logan, Beenleigh and surrounding Brisbane South communities

Managed by gnaritas Solutions

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