Chair Reiki Session Note (Brief)
A concise documentation template for brief chair-based Reiki sessions (10-30 minutes), capturing chief concern, pre/post symptom ratings on a 0-10 scale, intervention details, patient response, and aftercare guidance. De…
Document Type
clinical note / Progress Note
Specialties
Template Preview
Date: [Date]
Start/End Time: [Start time – End time] Duration: [Duration in minutes]
Setting/Location: [Setting/Location]
Practitioner: [Name, credentials, role]
Subjective
Chief Concern: "[Patient's stated reason in their own words]" — [One-sentence session goal]
Consent & Preferences: [Verbal consent obtained / not obtained]; [Touch preference: hovering / light touch]; [Areas to avoid, if any]; [Relevant safety considerations: dizziness, pain limiting sitting, lines/tubes, or none identified]
Pre-Session Ratings: [Symptom 1] __/10; [Symptom 2] __/10; [Symptom 3] __/10 (Select 1-3 symptoms relevant to chief concern. If unable to obtain numeric ratings, state reason and include observational descriptor.)
Intervention & Observations
Intervention: Chair Reiki, [hovering / light touch], [duration in minutes]. [Patient positioning]. [Hand position areas addressed]. [Standard protocol / modified protocol with modifications noted]. (Use neutral, observable language; avoid metaphysical terms.)
Observations: [Observable responses during session: breathing changes, muscle tension shifts, affect/behavioral cues, tolerance issues, brief patient comments] (Include only if specific observations occurred; omit this field entirely if none rather than using generic filler.)
Response
Post-Session Ratings: [Symptom 1] __/10; [Symptom 2] __/10; [Symptom 3] __/10 (Use same symptoms as pre-session. If not obtained, document reason.)
Patient Response: [One-sentence summary or brief quote of patient's stated experience]. [Adverse events or unexpected responses with actions taken, if any; include team notification if applicable]
Plan
- [Aftercare guidance: hydration, slow position changes, grounding techniques as discussed]
- [What to do if symptoms worsen]
- [Follow-up: next session timing, communication to care team, referrals if applicable]
(Omit entire Plan section if no aftercare discussed and no follow-up applicable.)
Practitioner Signature: [Electronic signature/authentication per organizational requirements]
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