Please Download and Fill Out The Client Intake and Consent Form

Client Intake and Consent Form


NYC Thai Wellness Center
274 Madison Ave, Suite #1205 (Between 39th & 40th Street)
New York, NY 10016
Located In Midtown East near Grand Central (4,5,6,7), and Bryant Park (B,D,F,M)

What Can the Client Expect?

The first session begins with a brief interview and client intake form. You are asked a series of questions so that I may plan the most beneficial session/series of sessions for your needs. Privacy and confidentiality are maintained at all times.

A Reiki session is performed on a massage table and you, the client, are always fully clothed. A Reiki session may start with the client lying face up resting comfortably. If you indicate in the interview or at the beginning of the session that you wish for me to pay attention to a particular injury or issue, I will also concentrate on that area during the session.

Clients can ask for different parts of the body to be worked on, or not worked on, and are encouraged to discuss this with me at the beginning of the session.

During the session, clients are encouraged to relax and inform me if anything makes them uncomfortable, either physically or psychologically. Please feel free to talk with me regarding feedback during the session. I often will talk with you before or after, usually not during as I want you to relax fully during the session. If something feels uncomfortable during the session however, please speak up immediately; I want to know as soon as possible.

  • I reserve the right to refrain from working on a person who is under the influence of alcohol or drugs.
  • Sexual harassment is not tolerated. If the practitioner’s safety feels compromised, the session is stopped immediately.

Practitioner’s Requests to the Client

  • Dress comfortably.
  • Bring or wear clean socks.
  • Eat light before the session.
  • Please refrain from wearing strong fragrances or perfumes.
  • Turn off cell phone and all electronics before session.
  • All clients must fill out the client intake form for the practitioner.

Appointment Policies

  • Reiki table sessions can be booked in 60 or 90 minutes sessions.
  • Reiki chair sessions in your office can be booked in 15 or 30 min sessions
  • If you need to cancel an appointment, please give 24-hour notice or you will be charged for the appointment. (Emergencies will be considered on an individual basis.)
  • Please arrive 10 minutes before session / no more then 15 minutes before session.
  • If the client is late the session may be shorter then stated, but the full payment will be required.
  • Package discounts are available.
  • To book an appointment call or email Jackee directly.
  • Day and Evening sessions are available.

Payment Policies

  • Payment is due at the beginning of the session in the form of cash, check or credit card.
  • There is a $30 fee for all returned checks.

Reiki, is not a substitute for medical care. The information on this site is not intended to treat, diagnose, prescribe or prevent any disease. You are advised to consult with the appropriate health practitioner in case of any medical condition.

Potential Health Benefits & Stress Reduction of Reiki

Yellow flowers

Reiki can be used for many ailments like reducing stress, relieving pain, headaches, stomach and digestive issues, back problems, asthma - respiratory problems, menstrual problems, sinus, anxiety and many more. Reiki has been known to help lessen the physical and emotional effects of chemo treatments for cancer patients.