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Reiki Consent Acknowledgement

By accepting and booking a session with Madaline at Zen Tiger Healing, I (the client) understand that Reiki is a Japanese form of healing that channels ambient life-force energy into the body. It is a simple, gentle, energy technique that is used for alleviating stress, restoring balance, increasing energy, relief from depression and anxiety, healing of troubled relationships and aid in pain management, deep spiritual healing, emotional healing, mental clarity and psychological breakthroughs. 

 

Reiki and sound healing facilitate the activation of natural healing processes within the body to restore physical, emotional, and spiritual well-being. This is done by placing hands lightly on or over the body to bring the body and chakra system back to its perfect vibrational frequency. I acknowledge that light physical touch is involved in this practice but that the client has the right to request a non-touch session, which is just as effective. I understand that it is Madaline’s religious belief that healing is transmitted through physical touch.

 

I recognize that Covid and illness precautions are taken seriously at Zen Tiger Healing. However, the practitioner holds no responsibility for any unknowing transfer of illness if that were to occur. I have the right to wear a mask and/or request the practitioner to wear a mask during their session. I agree to take personal responsibility for assessing my own health and risk factors prior to attending the session. If I am exhibiting any symptoms of illness, I will notify Madaline and reschedule my session.

 

While Reiki is a gentle, positive practice and is unique for every individual, I acknowledge that in most instances, Reiki feels warm and profoundly relaxing. Other common Reiki sensations experienced are: heat, cold, tingling, floating, heaviness, lightness, sleep, visualizations or appearance of images in your mind, vivid thoughts or memories, increased or decreased breathing rate, higher awareness of parts of the body, emotional release, stress reduction, sense of balance, centeredness and calm. 

 

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 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) and that essential oils and/or sounds may be used. I understand that Zen Tiger Healing is not responsible for any outcome that may arise from the session today. I acknowledge that in the unlikely event of a medical emergency during the session, Zen Tiger Healing is not responsible for providing medical care, and I will take personal responsibility for seeking appropriate assistance.

 

I understand that sound healing involves the use of crystal sound bowls, chimes, and other instruments, which produce vibrations and frequencies intended to promote relaxation and healing. I acknowledge that some individuals may experience physical or emotional responses, including but not limited to sensitivity to sound, vibrations, or emotional release. I agree to inform Madaline prior to the session if I have any conditions (e.g., hearing sensitivities, pacemakers, or other concerns) that may be affected by sound healing practices. I understand that I have the right to remove myself from the session if any unlikely negative effects occur. 

 

I understand and comply that Madaline may be incorporating other healing modalities, including but not limited to, crystal sound bowls, chimes, other instruments, scents, oils, etc. I acknowledge that photo or video content may be captured during Zen Tiger Healing events and give permission for this content to be used for promotional purposes. If I prefer not to be included in any photos or videos, I agree to communicate this prior to the session. I understand that this private sound bath ceremony is hosted in a home setting, and I release Zen Tiger Healing and Madaline from any liability related to the venue, including but not limited to physical injury, illness, property damage, or other unforeseen events. 

 

Having read and understood the foregoing I request to receive hands-on Reiki treatment today. I agree that Madaline of Zen Tiger Healing is providing Reiki, sounds healing, holistic treatment for me at my request. I agree to hold my practitioner, and Zen Tiger Healing, harmless of any intended or unintended result.

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