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Are you comfortable with gentle hands-on touch at the 7 primary chakra points (head to feet)?

Hands-on
Yes
No (I prefer hands-off only)

Are you pregnant or have you given birth within the last 60 days?

Single choice
No
Yes

Reiki Ritual Client Acknowledgment & Consent

Reiki is a gentle energy-based practice intended to support relaxation, stress reduction, and overall well-being. It is not a substitute for medical diagnosis, treatment, or care.


I understand that Reiki practitioners do not diagnose medical conditions, prescribe medications, or interfere with treatment from licensed medical professionals. Reiki is not designed to cure disease.


If I have a medical condition, am under the care of a physician, or have concerns about my health, I agree to seek guidance from a qualified healthcare provider. I understand that it is my responsibility

to consult a physician for any medical condition or concern.


I acknowledge that this is a safe, confidential, and judgment-free space.


By signing below, I voluntarily consent to receive Reiki services and release The Ritual Esthetics Room and practitioner from liability related to this session.

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