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Once you press the SUBMIT button at the bottom of the form, it will be emailed to me at lifeflowenergybyelaine@gmail.com. If you do not receive a follow-up

e-mail, please get in touch with me at this e-mail address.

Long Distance Reiki Waiver

Please fill out the following form.

Date of birth
Month
Day
Year
Are you currently under the care of a physician?
No
Yes
Have you ever had a reiki session before?
No
Yes
What are your goals for receiving reiki?

Waiver Terms

I attest that I am over the age of 18 and if 17 or below, my parent or guardian must supply written consent.


I understand that Reiki is not based on a system of religious beliefs.


I understand that Reiki is not a replacement for traditional medical treatment and is merely a complementary service to my current healthcare plan. It is recommended that I see a licensed physician or healthcare professional for any physical or psychological ailment I may have.


I understand that Reiki practitioners do not diagnose conditions, nor do they prescribe or perform medical treatments, prescribe substances, nor interfere with the treatment of a licensed medical professional.


I understand that Reiki is a subtle, gentle form of energy that uses the universal life force energy to balance the energies within our bodies and energetic field, contributing to a more balanced physical, mental, emotional, and spiritual body. 


I 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. 


I understand that the effects of Reiki are cumulative in which regular Reiki treatments can invite significant improvement. Regular sessions support well-being in every way.


During a long-distance Reiki session, I will connect to the Universal Energy as a conduit and then send it to you. Everyone has a different experience. You might feel a floating sensation, an emotional release, increased relaxation, an enhanced sense of balance, centeredness, or calm. Some clients fall asleep, and yet others may not feel the effects until days later. For many, it is noticed in the daily tasks and how we handle them.


If you experience any pain or discomfort during this session, immediately set an intention to disconnect from the session and break the energy flow. Call me immediately to let me know.


Privacy Notice: No information about any client will be discussed or shared with any third party without the written consent of the client or the parent/guardian if the client is under 18.

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Lets Work Together

Elaine McFadyen, 

Sole Proprietor

DBA "Life Flow Energy"

Mechanicsburg, PA 17055

610-618-0979

lifeflowenergybyelaine@gmail.com

©2025 Life Flow Energy By Elaine

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