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I understand that Reiki is a form of energy healing and stress reduction that complements, but does not replace medical diagnosis or treatment.

I acknowledge that Reiki practitioners do not diagnose conditions, prescribe medications, or interfere with the treatment of licensed medical professionals.

I affirm that I am responsible for my own health care decisions and that it is my responsibility to consult a licensed physician or qualified health care provider for any physical or psychological ailment or condition I may have.

By signing below, I acknowledge that I have read, understood, and agree to this disclaimer.


** If a client is under the age of 18, the signature of a parent or

legal guardian is required.


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