Animal Reiki Consent Form HOME > RESOURCES > FORMS > REIKI CONSENT FORM Animal Reiki Consent Form Please enable JavaScript in your browser to complete this form.Do you want Rocksteady Life to contact you after your Pet's session to check in? *NoYesPet's name *Type/Breed *(Cat, Dog, Fish, Bird, etc)Pet's age *Caregiver's name *FirstLastCaregiver's email *EmailConfirm EmailPhone *Preferred contact method (select all that apply) *EmailTextPhone callHas your pet ever had a Reiki session before? *NoYesWhen was their last session?Number of previous sessions (if known)Other servicesReiki for yourself (caretaker)Companion Reiki (Reiki for the caretaker and pet at the same time)End of Life/Transition servicesMultiple petsDistance Reiki (via Zoom, phone call or at a pre-arranged time)In-person sessionsSelect all that apply.What would you like me to know about your pet and their situation? *Consent to treat with Reiki *I understand that Reiki is a simple, gentle, hands-on energy technique that is used for stress reduction and relaxation. 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. I understand that Reiki does not take the place of medical care. 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 also understand that the body has the ability to heal itself and to do so, complete relaxation is often beneficial. 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. PRIVACY NOTICE: No information about any client will be discussed or shared with any third party without written consent of the client or parent/guardian if the client is under 18.Name *FirstMiddleLastToday's date *PhoneSubmit
