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  • 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.

Rainbow Chakra Mat 

  • If you have any preexisting conditions that may be cause for concern, or if you have heart disease, hypertension, or any other serious medical condition you should consult with a doctor before using this or any other medical device.

  • You should avoid heat therapy if you have vascular disease, deep vein thrombosis, or multiple sclerosis.

  • Limit heat treatment at maximum temperature to one hour per day to prevent dehydration and hyperthermia.

  • Pregnant women, those who are nursing, and individuals who have a pacemaker, should not be exposed to the increased heat from the mat.

  • PEMF therapy is not suitable for those who are pregnant or individuals with a pacemaker.

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