Request for Long Distance Reiki Healing Treatment

Reiki healing energy is exchanged and shared at a specific time and place designated by the practitioner and the person receiving the Reiki treatment. The practitioner and recipient both focus on the idea of healing, visualizing an image with intent and positive affirmation.

An emailed photo of the person who will be receiving the Long Distance
Reiki Treatment, is helpful, but not necessary.

Please fill out the following to receive a long distance Reiki Healing treatment
or calll Therese at 530-305-8872 to schedule treatments.

Name:

E-mail:

Phone:

Address:

City:

State:

Zip:

New Client
Existing Client

Best time to work together:

Morning
Afternoon
Evening
Weekdays
Weekends


Please describe your situation/concern:




Therese will review your request and contact you within 48 hours to ask and answer any questions and to discuss your treatment.



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P.O. Box 4596 • Auburn, CA 95604 • 530-823-8615 • cell: 530-305-8872