Animal Reiki Information/Release Form

Insights Hypnosis & Reiki



Pre-Session Animal Reiki Information/Release Form


Client/Caregiver Release:


I, ___________________________________________________ (print name), the undersigned, understand that the animal Reiki session(s) provided by Insights Hypnosis & Reiki is given for the purpose of stress reduction and relaxation to promote healing and overall well-being. I understand very clearly that a Reiki session is not a substitute for proper medical diagnosis and treatment. I understand that Reiki practitioners do not diagnose conditions, nor do they prescribe or perform medical treatments, or interfere with the treatment of a licensed medical professional. I am aware that it is recommended that I take my animal to a licensed veterinarian or licensed health care professional for any ailment or injury my animal may have.


Reiki Healing Responses and Appropriate Scheduling:


I understand that the most common, potential (temporary) healing responses to a Reiki session

may be drowsiness or induced sleep, sneezing, mild dehydration, increased water consumption,

and increased elimination of bodily waste. I understand that it is fully my responsibility to schedule a Reiki session on an appropriate day, at an appropriate time that allows for the accommodations of the potential Reiki healing responses. Therefore, someone will be available to care for my animal, and my animal will not be expected to perform or work for a reasonable amount of time on the day of the Reiki session (e.g., performance, service and working animals).


By signing below, I attest that I have read, understand and agree to the Release, Healing Responses and Appropriate Scheduling, and the Cancellation and Postponement Policies.

Client/Caregiver’s Signature:


I, _______________________________________________Date: ____________


Name and/or species of animal(s) receiving Reiki session(s):



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