Caregiver InformationFull Name *Phone Number *Email Address *Preferred Contact Method: *EmailPhone CallText MessageAnimal InformationPet's Name *Species/BreedAgeHas your pet received Reiki before? *YesNoIf yes, when was the last session?Number of previous sessions:Session PreferencesPreferred Session Type: *In-PersonDistance (Zoom, Phone Call, or Pre-arranged Time)Companion Reiki (Simultaneous session for caregiver and pet)End-of-Life/Transition SupportMultiple PetsPet's Background and NeedsPlease share any relevant information about your pet's health, behavior, or circumstances that might help tailor the Reiki session:Consent and AcknowledgmentI, the undersigned, understand that Reiki is a gentle, non-invasive energy healing technique intended to promote relaxation and well-being. I acknowledge that:- Reiki practitioners do not diagnose conditions, prescribe substances, or perform medical treatment. - Reiki is not a substitute for veterinary care but can complement traditional treatments. - It is recommended to consult a licensed veterinarian for any medical concerns. - The effectiveness of Reiki may vary, and multiple sessions might be necessary for optimal benefits. - Animals have the autonomy to accept or decline Reiki energy, and their comfort will always be prioritized.Privacy Notice: All information shared will remain confidential and will not be disclosed to third parties without written consent, except as required by law.SignatureStart signing your signature hereYour browser does not support e-Signature field.DateSubmit
