This document is a written statement that certifies that the patient, hereafter referred to as the "Client," fully understands the Reiki Healing treatment, the potential risks, and benefits associated with said treatment. The Client provides their consent to be treated by the healthcare professionals associated with the "Clinic."
TREATMENT INFORMATION
The term "Treatment" refers to Reiki Healing, a form of alternative therapy often referred to as energy healing. It involves the transfer of universal energy from the practitioner's palms to the Client's body.
RISKS
Every treatment carries inherent risks, and this is true for Reiki Healing as well. The potential risks associated with Reiki Healing include, but are not limited to:
Emotional discomfort: Some people may experience emotional discomfort or distress during or after a session.
Physical discomfort: Although Reiki is generally a non-invasive and gentle therapy, there may be minor physical discomfort during or after the session.
Unintended reactions: This can include unexpected emotional, spiritual, or physical reactions to the treatment.
BENEFITS
While risks are inherent to any treatment, there are potential benefits that the Client may experience with the Reiki Healing treatment. These benefits include, but are not limited to:
Relaxation: Reiki Healing often brings deep relaxation, helping to alleviate stress and anxiety.
Pain relief: Some people find that Reiki Healing can help to reduce pain and discomfort.
Emotional healing: Many people report emotional healing as a result of Reiki Healing.
Improved overall wellbeing: Reiki Healing may lead to improved physical and emotional wellbeing, potentially enhancing the quality of life.
I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about:
- the aims/motivations for having the procedure and the desired outcome
- the risks inherent in the procedure
- the risks inherent in refusing the procedure
- the risks specific to me
- the expected benefits of the treatment
- the potential disadvantages of the treatment
- alternative procedures and their pros and cons - including the option of no treatment at all
- any uncertainties about and the likelihood of success of the procedure
- any follow-up treatment that may be required
CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records.
I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision.
I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.
