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New Client Intake + Consent Form
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Is this your first session with Ki’smet Co?
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What type of session are you booking?
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During my session, I am comfortable with:

Terms, Conditions & Disclaimer


Ki’smet Co offers complementary wellness services including Reiki, energy healing, reflexology, Access Bars®, somatic-informed nervous system support, intuitive guidance, and related holistic services.


I understand that sessions at Ki’smet Co are not medical care, counselling, psychotherapy, diagnosis, treatment, or crisis support. These sessions are not a replacement for care from a doctor, therapist, psychiatrist, psychologist, or other licensed health professional.


I understand that results are not guaranteed and that every client’s experience is different. I am responsible for my own health, choices, and follow-up care.


I understand that I may ask questions, pause, adjust, or stop a session at any time. Consent and comfort matter throughout the session.


To honor both your time and mine, I kindly ask for at least 24 hours' notice if you need to cancel, reschedule, or make changes to your appointment.


Appointments cancelled or changed with less than 24 hours' notice may be subject to the full session fee, except in the case of emergencies or unexpected illness.


Arriving late may shorten your session so that other clients are not impacted.


Thank you for respecting my time and the time reserved specifically for you.


I understand that Ki’smet Co has a cancellation policy and that missed appointments or late cancellations may be subject to the current booking policy.


I understand that information shared in this form is used to support my session and client care. Ki’smet Co will take reasonable steps to respect my privacy, but I understand that online forms and electronic communication may carry some privacy risk.

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Thank you. Your intake form has been received. Kiernan will review it before your session.

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