• I understand the Practitioner does not diagnose illness, injury, disease or any other physical or emotional disorder.  

  • All information given in writing or discussed in the session is confidential and will not be shared.  

  • It is my responsibility to inform the practitioner of any changes in my medical condition.  I understand that there will be no liability on the Practitioner’s part should I neglect to inform him/her of any changes in my medical condition.

  • I understand that Reiki and Reiki Bodywork are provided for the basic purpose of relaxation and reduction of tension, anxiety, and stress. 

  • I give permission for Rose-Marie Lowe and/or Ashley Patyk to touch me in regards to my treatment sessions if I have indicated so on this registration form.  I further understand that I can request hands off treatment at any time.