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INTAKE FORM

Before your first session or commence a course, it is important to please fill out this intake form. All information is private and safe. Please fill in all areas to the best of your ability. By completing this form you are agreeing to the below statements.

Client/Student intake form
Have you had Reiki offered to you before?
Ladies, are you pregnant?
Will you be comfortable on a massage table?

North of the Hill Institute of Reiki is not a Medical Practice. Therefore we do not qualify as a Doctor, Psychologist or any other form of Medical Practitioner. Reiki and North of the Hill Practitioners do not diagnose health conditions and are not responsible for any form of medical conditions. Suggestions made during sessions are specific to the learnings of your situation, studies of the practitioner and intuition. When the use of frequency devices such as drums, chimes, sound bowls, light language, singing and instruments alike along with essential oils (in particular Young Living) These are all used with consent by you and each client that you are okay with the use of them. They are not used to claim they can cure, treat and not used as diagnosis of any kind. Anyone suffering a disease, injury, illness or mental health issues please consult a General Practitioner.

North of the Hill is not responsible for your healing journey. Each individual is responsible for their own actions and use their own discernment on what you/they need for your own journey.

By signing below you are agreeing to this statement. 

We look forward to holding energetic space for you.

Thanks for submitting!

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