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Healing Request

What kind of request are you making?

Personal Illness Situation

Please provide a short detail of your request in the space provided below:

Some common requests can be for physical, emotional or spiritual healing. If you request a treatment for another person, please let us know their first name and a brief description of the illness or situation that needs the treatment.

Tell us how to get in touch with you:


By sending a request for a Reiki treatment you agree to the following:




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Copyright 1999 [Reiki By Request]. All rights reserved.
Revised: June 27, 2001 .