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Reiki Consultation Forms

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Posts: 15
Topic starter
(@lamora)
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Joined: 12 years ago

Just wondered what other's thoughts were about Reiki consultation forms and the current practice of asking about clients' medical conditions and medications.

As far as I know, there are not too many contraindications for Reiki and it is deemed to be a safe therapy therefore why do we need to ask clients about their health in such detail?

Does anyone use a consultation form with just the relevant contraindications listed for clients to tick? Do you think it's necessary to ask about medical conditions as well?

Look forward to your replies:)

26 Replies
meurighj
Posts: 962
(@meurighj)
Prominent Member
Joined: 17 years ago

It's partly a matter of protecting yourself to know as much about your client as possible. For example they could have a medical condition which gets worse for some unrelated reason and they could blame the Reiki for making it worse! If you are aware in advance of any medical conditions they have you can be preapred for such circumstances. On the positive side their condition could improve! You also need to be aware of any medication they are taking as if their health does improve during a course of Reiki treatments then their medication may become too strong (take hyperthyroidism as an example - if the condition improves the dosage of thyroxine required would lessen)

Another reason for knowing about physical conditions is from an holistic perpspective if you think in terms of the mind-body connection then you may get an insight into underlying issues.

😀

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Posts: 15
Topic starter
(@lamora)
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Joined: 12 years ago

Thanks for your reply, meurighj and I understand what you're saying but I am not medically trained so the information about hyperthyroidism wouldn't help me as I don't know what dosage of medication the client should be on i.e. what is a high dosage and what is a low dosage.

I totally get the holistic reason though and this is a good idea but I don't really feel comfortable about getting too many details

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Posts: 414
(@christinam)
Reputable Member
Joined: 20 years ago

Hi,
I also take a case history and details of medication because I need to be able to differentiate between the energy of the client and the energy of the medication.

Also as the client heals they may go through their healing crisis and I need to know the route their crisis is taking. Also the odd client may feel that the original symptom they are having Reiki for has not improved. But if I know of their other problems then I can ask them if they have subsided - often the answer is yes. It shows me that healing is occurring just not in the route the client would like.

I also need to know if the client may be infectious - not just for me but for my next clients too.
These are just some of the reasons why I take a full history and know of the medications they are taking.
And one more reason - if I know their disease I can then begin to build a database of knowledge about how certain diseases feel to me and the emotional/mental resonance of each disease and therefore how to work with them and be a more effective healer.

Kindest regards,
Christina

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Posts: 15
Topic starter
(@lamora)
Active Member
Joined: 12 years ago

Hi,

Also as the client heals they may go through their healing crisis and I need to know the route their crisis is taking. Also the odd client may feel that the original symptom they are having Reiki for has not improved. But if I know of their other problems then I can ask them if they have subsided - often the answer is yes. It shows me that healing is occurring just not in the route the client would like.

[COLOR="Indigo"]That's a good point - I hadn't looked at it that way

I also need to know if the client may be infectious - not just for me but for my next clients too.

[COLOR="Indigo"]Yes, I totally agree and although I think about all that for massage clients I sort of forgot about the implications for Reiki clients

These are just some of the reasons why I take a full history and know of the medications they are taking.
And one more reason - if I know their disease I can then begin to build a database of knowledge about how certain diseases feel to me and the emotional/mental resonance of each disease and therefore how to work with them and be a more effective healer.

Kindest regards,
Christina

Thank you for your advice Christina. I am currently updating my client record/consultation forms and just been thinking about whether the info I ask for is really justified but am beginning to realise it probably is. 😀

Also the Reiki Fed guidelines have even more probing questions than I have ever asked 😮

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meurighj
Posts: 962
(@meurighj)
Prominent Member
Joined: 17 years ago

the information about hyperthyroidism wouldn't help me as I don't know what dosage of medication the client should be on i.e. what is a high dosage and what is a low dosage.

You don't need to know about the dosage - the client needs to be aware that regular Reiki treatments may improve their wellbeing and in doing so their health may improve so they need to recognise that their medication may become too much - they know what dosage they're on - the same applies to someone who is diabetic you would need to know that they are diabetic.

Another reason for knowing if a client has a medical condition - what if they were epileptic and you hadn't done a consultation and they had a fit during the treatment? 🙁

I agree with Christina too you need to know if your client has any infectious or contagious conditions for your own wellbeing and for your other clients wellbeing.

😀

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Posts: 15
Topic starter
(@lamora)
Active Member
Joined: 12 years ago

You don't need to know about the dosage - the client needs to be aware that regular Reiki treatments may improve their wellbeing and in doing so their health may improve so they need to recognise that their medication may become too much - they know what dosage they're on - the same applies to someone who is diabetic you would need to know that they are diabetic.

Another reason for knowing if a client has a medical condition - what if they were epileptic and you hadn't done a consultation and they had a fit during the treatment? 🙁

😀

Sorry meurighj, I totally misunderstood your first post and I understand now what you mean. I have it on my consultation form that diabetics and those with high blood pressure need to monitor their levels for this very reason. After what you've said I could add those on Thyroxin as well.

I also have epilepsy on my form as I ask them in advance what I should do in the unlikely event that they had a fit.

To be honest, my consultation form covers a lot of things but I think I was becoming uncomfortable about asking people about their current medications and medical treatments as the answers I got often wouldn't have any bearing on their Reiki Treatment but I now feel more confident about continuing to have these questions on my consultation form thanks to yours and Christina's replies.
Thank you:)

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Posts: 146
(@lightbody)
Estimable Member
Joined: 13 years ago

To be honest, my consultation form covers a lot of things but I think I was becoming uncomfortable about asking people about their current medications and medical treatments as the answers I got often wouldn't have any bearing on their Reiki Treatment....

Hi Lamora.

Well, I'm certainly in agreement with everything that's been shared thus far. If a client comes into the treatment office with a cough because of tuberculosis, I certainly want to know.

I would add that the treatment forms help to create a professional image of the Reiki person to the Reiki client, and equally as important the forms also serve as a tool to help the client talk about themselves -- and the more the client talks about themselves (in particular their ailments) the more likely they are to gain a better understanding of what's happened in their life that may have contributed to the ailment, and how to find a balance that helps them heal it or helps them live in greater harmony with it.

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Posts: 15
Topic starter
(@lamora)
Active Member
Joined: 12 years ago

Hi Lightbody, thanks for your input and I agree with everything you've said and I think the issue is more with me and how I felt about asking clients things but as you say a lot of people are more than happy to share medical information.

I have now completed my consultation form revamp and have retained all the medical info questions. I suppose I just wanted to reaffirm the reasons we ask for this kind of info.

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meurighj
Posts: 962
(@meurighj)
Prominent Member
Joined: 17 years ago

Lightbody's response made me think - people's enjoyment of complementary therapy treatments (Reiki, reflexology etc.) is because the therapist spends time listening , unlike a GP who has probably allocated a 10 minute slot and has just enough time to evaluate a few symptoms mentioned, make a diagnosis and offer a prescription (at least that's what it's like at my local surgery!:D). Having someone taking time to actually listen to you is part of the therapy! 😀

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Tashanie
Posts: 1924
(@tashanie)
Noble Member
Joined: 15 years ago

Just wondered what other's thoughts were about Reiki consultation forms and the current practice of asking about clients' medical conditions and medications.

As far as I know, there are not too many contraindications for Reiki and it is deemed to be a safe therapy therefore why do we need to ask clients about their health in such detail?

Does anyone use a consultation form with just the relevant contraindications listed for clients to tick? Do you think it's necessary to ask about medical conditions as well?

Look forward to your replies:)

I need a fairly detailed medical history for hypnotherapy, and am used to having full access to medical notes as a pharmacist. So I probably take a more detailed history than most reiki therapists. Knowing their drugs means I not only know what their problems are - but how bad they are. Holistic therapists take their cues about patients in many ways - their drug history is just a rather specialised cue available to me.. And some complaints may well be side effects of drugs .

Apart from that I agree with the other comments made. Especially the fact that people may welcome the chance to talk. The more you know about your client the better you can help them

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Posts: 124
(@jotravels)
Estimable Member
Joined: 13 years ago

This is a very interesting thread and good questions. Any tips or somewhere I can get an example of a constulation form? I'm starting out and would love to get an much background on clients as possible to as mentioned before see how different illnesses and energies feel to me and to also make the treatment personal and track progress or issues.

Thanks

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Posts: 124
(@jotravels)
Estimable Member
Joined: 13 years ago

Managed to find a few online. Now do you get clients to fill in a consent form?

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Posts: 15
Topic starter
(@lamora)
Active Member
Joined: 12 years ago

I always get clients to complete a consent form. I think this is really important and I also keep records for 7 years. In addition I get a consent signed by a parent or carer when I am treating someone under 16 or anyone who might be deemed to be vulnerable.

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Posts: 124
(@jotravels)
Estimable Member
Joined: 13 years ago

I always get clients to complete a consent form. I think this is really important and I also keep records for 7 years. In addition I get a consent signed by a parent or carer when I am treating someone under 16 or anyone who might be deemed to be vulnerable.

Thanks Lamora! Did you get a lawyer to check out the consent form and what do you include in it?

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Posts: 15
Topic starter
(@lamora)
Active Member
Joined: 12 years ago

No, I just used information from the consent form my Reiki Master had along with information from the Reiki federation. To be honest, I don't think you need a lawyer as Reiki is not harmful and all I am doing is making sure the client understands the treatment.

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Posts: 124
(@jotravels)
Estimable Member
Joined: 13 years ago

No, I just used information from the consent form my Reiki Master had along with information from the Reiki federation. To be honest, I don't think you need a lawyer as Reiki is not harmful and all I am doing is making sure the client understands the treatment.

Yes I thought the same as it was not harmful but wanted to check as actually hadn't considered a constent form before. Thanks for the advise!

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Posts: 414
(@christinam)
Reputable Member
Joined: 20 years ago

Hi,
It's so nice to hear a professional discussion about Reiki. In terms of a consent form - I don't use one as I believe consent is given when they book a session. I may be naive but...

But my point was that Reiki is not harmful - absolutely correct - but the therapist? I have heard cases of healers who basically should not be healing as they are a danger to clients either through lack of training or through stepping WAY over boundaries.
This is another area in which the client needs protection.
Kindest regards,
Christina

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Posts: 146
(@lightbody)
Estimable Member
Joined: 13 years ago

This is another area in which the client needs protection.

... that's an area where the Reiki person needs training. Proper training.

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Posts: 15
Topic starter
(@lamora)
Active Member
Joined: 12 years ago

Hi,
I have heard cases of healers who basically should not be healing as they are a danger to clients either through lack of training or through stepping WAY over boundaries.

Kindest regards,
Christina

Really!! I am intrigued and can't imagine what a Reiki therapist could do that might be considered a danger to clients. Are you able to elaborate?

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Posts: 124
(@jotravels)
Estimable Member
Joined: 13 years ago

Really!! I am intrigued and can't imagine what a Reiki therapist could do that might be considered a danger to clients. Are you able to elaborate?

I thought exactly the same, please tell......

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Energylz
Posts: 16602
(@energylz)
Member
Joined: 21 years ago

Really!! I am intrigued and can't imagine what a Reiki therapist could do that might be considered a danger to clients. Are you able to elaborate?

Perhaps things like placing hands in places that are considered 'inappropriate'. I know in traditional japanese reiki, if you look at some of the hand positions for treating some conditions, they are not ones that would be considered appropriate in "normal western society", There's also the danger of a therapist trying to diagnose conditions or offer a prognosis for a condition... something which is considered to be against the law in many countries if you are not medically trained. Also, some therapists can offer inappropriate advise about reducing medications or (and I've heard this one myself) suggesting a person should stop taking a meditation in favour of some natural remedy (not saying that the natural remedy wouldn't work, but telling people to stop their medication is a big no no!)

Having a consent form is a good idea for both client and practitioner. It allows the client to understand what the therapy provides (some clients do come along without a clue, just because a friend has recommended they try it, or they're desperate and are trying everything under the sun) as well as their responsibility for dealing with their medical doctor in terms of medications, and allowing them to express any concerns or objections about any aspect of the treatment prior to it happening. It also covers the practitioner in terms of the client coming back with any "You told me I should do such and such..." when in fact you have offered advice that they can look into themselves rather than telling them specifically to do things. etc.

There are good practitioners, and bad practitioners, and good clients and bad clients in all the world of therapies. In the modern blame culture and with lawful restrictions, it's good to have documentary evidence to show what has been discussed between the two parties. 😉

All Love and Reiki Hugs

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Posts: 124
(@jotravels)
Estimable Member
Joined: 13 years ago

Perhaps things like placing hands in places that are considered 'inappropriate'. I know in traditional japanese reiki, if you look at some of the hand positions for treating some conditions, they are not ones that would be considered appropriate in "normal western society", There's also the danger of a therapist trying to diagnose conditions or offer a prognosis for a condition... something which is considered to be against the law in many countries if you are not medically trained. Also, some therapists can offer inappropriate advise about reducing medications or (and I've heard this one myself) suggesting a person should stop taking a meditation in favour of some natural remedy (not saying that the natural remedy wouldn't work, but telling people to stop their medication is a big no no!)

Having a consent form is a good idea for both client and practitioner. It allows the client to understand what the therapy provides (some clients do come along without a clue, just because a friend has recommended they try it, or they're desperate and are trying everything under the sun) as well as their responsibility for dealing with their medical doctor in terms of medications, and allowing them to express any concerns or objections about any aspect of the treatment prior to it happening. It also covers the practitioner in terms of the client coming back with any "You told me I should do such and such..." when in fact you have offered advice that they can look into themselves rather than telling them specifically to do things. etc.

There are good practitioners, and bad practitioners, and good clients and bad clients in all the world of therapies. In the modern blame culture and with lawful restrictions, it's good to have documentary evidence to show what has been discussed between the two parties. 😉

All Love and Reiki Hugs

Thanks Giles this was useful!

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Posts: 15
Topic starter
(@lamora)
Active Member
Joined: 12 years ago

I am shocked that a Reiki practitioner would dare to tell someone to reduce or stop their meds 😮
Where are their brains?? And as for inappropriate touching, surely that's just common sense. I always ask what people are comfortable with and explain what I am going to do and which areas I will be working on and if the client does not want to be touched at all then that's fine, I will just work above the body instead.

Even when carrying out massage treatments we were always taught to respect the dignity of clients and ensure they were comfortable about what cloths were to be removed and we made sure that the towel always more than covered any areas we shouldn't be touching.

Personally, I always think it's best to ask the client what they are comfortable with.

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Posts: 146
(@lightbody)
Estimable Member
Joined: 13 years ago

Inappropriate touching may depend on the community one is practicing Reiki in... I think it was 5 or 6 years ago I attended a Gay Men's Reiki weekend workshop in San Francisco. I did not know anyone who was attending, nor were any who attended my friends, clients, or Reiki students.

During the first treatment exchange I lay down onto a table (fully clothed as is the norm, excepting only my shoes) and awaited someone to approach. An older man approached the table and politely introduced himself. He asked if I had received Reiki before, and I nodded with a "yes". He placed his hands on my chest and the workshop facilitator signaled all providers to start the treatment.

His hands slowly walked down my torso in a way similar to the procedure I would teach, but there was a difference when he got to the groin area... He placed his hands directly on my genitals.

Needless to say I was a bit surprised. Once his hands were in the new position, I realized that because it was a Gay Men's group gentle cupping and touching of the genitals was to be expected -- but honestly what surprised me the most was that he didn't give me any indicator that he was going to place his hands there... When his hands moved from my belly, I was expecting them to go where I would put my hands on any client and where I would teach all of my students -- the sides of the hips in a slight V-position that is at a safe distance away from the genitals -- but his hands gently rested right on my privates.

I was going to ask him to move his hands to the sides of my hips, but I noticed that a huge flow of Reiki was suddenly flowing through my system to his, and when I looked at him I noticed that his eyes were closed and that he had started to break out into a sweat -- between the flow of healing energy and the reaction of his body, it was obvious that he needed the healing so I simply let things be as they were.

I recognize that there are a lot of LGBT individuals who need sexual healing, and that genital touching in a safe environment can greatly contribute to that healing -- but I did not need that level of healing. And I haven't returned to the group since that time, either.

But boundaries are subjective to the community, to the environment, where they are practiced. What may be inappropriate touching in one environment may be perfectly appropriate (and even expected) in another.

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Energylz
Posts: 16602
(@energylz)
Member
Joined: 21 years ago

I am shocked that a Reiki practitioner would dare to tell someone to reduce or stop their meds 😮
Where are their brains??

Indeed. But some people get so passionate about their belief in natural remedies (or are so very anti orthodox treatment) that they don't care about the law. It does happen.

And as for inappropriate touching, surely that's just common sense. I always ask what people are comfortable with and explain what I am going to do and which areas I will be working on and if the client does not want to be touched at all then that's fine, I will just work above the body instead.

Which is good, and that's part of the consultation, so you would have on your consultation form that the client is signing to say that you have explained where you are going to place the hands and the client is happy with what you have explained.

If you have the following book:

There is one position for treating one ailment (can't recall which one) where he puts his hand... as my beloved would put it... "right on her foofy". 😀 But again, we're talking about Japanese society where such things may not necessarily be seen as wrong when giving healing, as we would consider it to be in the west (just like the age of consent in Japan is 13 which many in the west would be horrified at).

Personally, I always think it's best to ask the client what they are comfortable with.

Absolutely. That's the need for consultation.

All Love and Reiki Hugs

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Posts: 414
(@christinam)
Reputable Member
Joined: 20 years ago

Hi,
Whilst I won't go into details a Reiki healer is still a human being and can make the same mistakes, say the wrong thing and act in physically inappropriate ways with a potentially vulnerable and trusting client.

Kindest regards,
Christina

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