Reiki Client Registration Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Contact Number *Have you had reiki treatment previously? *YesNoPlease explain what you are seeking reiki healing treatment for? E.g. better sleep, relaxing, pain relief *Are you pregnant or trying to conceive? *YesNoDo you have any medical conditions and are you currently taking any medication? *I understand that the practitioner will be placing hands on me or above me during the Reiki session – please select an option. *I am okay with hands on treatmentI am okay with hands above treatmentSubmit
