Get Reiki Intake Form

Filling out the Reiki Intake Form online is an essential step for anyone seeking Reiki treatments. This guide provides clear instructions to ensure you complete the form accurately and efficiently, paving the way for a beneficial session.

Follow the steps to complete the form seamlessly.

1. Press the ‘Get Form’ button to access the Reiki Intake Form and open it in your preferred editor.
2. Provide your full name in the designated field as it will be used for your records.
3. Enter your current address, including street, city, state, and zip code.
4. Input your email address to receive confirmations and correspondence.
5. Fill in today's date to document when the intake is being completed.
6. Provide the name and phone number of an emergency contact for safety.
7. Enter your date of birth as it helps in identifying your health history.
8. List your phone number to facilitate communication.
9. Detail any medications you are currently taking, including vitamins and their purposes.
10. Document any past injuries or surgeries to inform your practitioner.
11. Identify your top three priorities for today’s session, such as pain relief or relaxation.
12. In the personal history section, circle your frequency of consumption for each listed item.
13. Indicate whether you have previously received a Reiki session by selecting yes or no.
14. Share any questions or concerns you may have about Reiki treatments.
15. If applicable, provide your last menstrual cycle date, and answer questions related to your menstrual cycle status.
16. Acknowledge your understanding of Reiki and the practitioner's role by signing and dating the form.
17. If you are under 18, fill in your parent or guardian's details and obtain their signature.

Take the next step towards your wellness—complete the Reiki Intake Form online today.