Terms and Conditions and Privacy Policy
*By electronically signing this form, you confirm you have read and fully understand and agree to the Terms and Conditions of this Reiki Intake Form below.
Complementary and Alternative Heal Care Services
Energy Healing & Reiki
Laura Naomi (artist name ‘Lotus’), offers Reiki and Energy Healing, which the state of Maine, USA does not require licensure.
The Reiki/Energy Healing services provided are to compliment any medical treatment you may be receiving. Please consult your medical provider or mental health provider before seeking Reiki/Energy Healing. Laura Naomi is certified in the following healing methods—Reiki & Energy Healing, Kundalini and Tantra Meditation, Trauma-Informed Yoga, Breathwork, Shamanism and the Transformational Mask, Somatic healing (Gestalt Therapy), Sound healing and Therapeutic and Swedish Massage Therapy.
Laura Naomi does not treat, cure or diagnose any conditions and results are not guaranteed.
By agreeing to these terms, conditions and disclaimer, you accept and acknowledge that you are aware that in the state of Maine, a license is not required to offer or perform Reiki/Energy Healing and you understand that Reiki/Energy Healing is not a substitute for medical advice.
Laura Naomi has been practicing and studying Complementary Therapies for over 20 years.
Laura Naomi carries a liability insurance applicable to any injury caused by an act or omission in providing complementary and alternative health care services.
As Laura Naomi’s client, you should discuss any recommendations she provides with your Primary Care Physician or other Board-Certified Physician.
By signing this form you are agreeing to the following:
By signing the form, I hereby agree to irrevocably release and waive any claims that I have now or may have hereafter against Laura Naomi (Artist name, ‘Lotus’). Results are not guaranteed. Full disclosures of the credentials and training background will be provided upon request.
I am ticking the box to consent to this agreement voluntarily and recognize that my agreement serves as complete and unconditional release of all liability to the greatest extent allowed by law.
I am confirming I am over 18 (eighteen) years old.
Privacy & Confidentiality
All personal information you provide Laura Naomi is kept private and confidential.
Laura Naomi is honored to be in the service of love. She holds the space where the gift of healing is for the highest good of all concerned.
Namaste
