In-Person, Telephone,  Virtual:

Hypnosis, Readings, Reiki Healings & Classes


Forms must be filled out at time of booking with the exception of Covid-19 Waiver which must be filled out within 24 hours of appointment.

REIKI Session FORM


Hope Hypnosis & Holistic Center
465 Route 9
Waretown, NJ 08758

Client Intake Form

Reiki Session Form

Client Information

General Information

I

hereby voluntarily request and consent to receive Reiki services from Mary Silvernail and/or Hope Hypnosis & Holistic Center, LLC.


I understand and knowledge that no guarantees have been made to me as to the effect of such services.


I further understand and acknowledge that  in no way are these services meant to be construed by me as the diagnosis or treatment of disease, but rather as an aid to balancing my energy and to possibly impoving my general wellness.


I understand that prior to my first Reiki session, I will receive and oral explanation osd and description of a Reiki session. I understand that I may refuse any and all services at any time during my first session or during any subsequent sessions.


I understand that Reiki services provided by Mary Silvernail and/or Hope Hypnosis & Holistic Center, LLC are simply intended to enhance relaxation and to aid in stress reduction.


I understand Reiki is not a substitute for medical treatment or medications, and it is recommended that I concurrently work with my Doctor or Primary Caregiver for any condition I may have. I am advised that if I am sick or disease and does not prescribe medication.


If I experience any discomfort  during the session, I will immediately communicate that to the practitioner so the treatment can be adjusted. Deposits are not refundable and a new deposit after the first rescheduled appointment will be requested.  No refunds

Download Printable Version
Share by: