Reiki Session Note

Session Details

Date/Time: [Session date and start/end time]

Client: [Client name or identifier]

Practitioner: [Practitioner name and credentials]

Setting/Modality: [in-person hands-on / in-person hands-off / distance Reiki]

Session: [Number in series, if applicable]

Consent & Boundaries

[Consent status and boundary details] (Document consent obtained this session—verbal or written; specify hands-on vs hands-off preference, any areas to avoid, positioning, and that client may pause or stop at any time. Must be documented fresh each session; do not carry forward from prior visits.)

Subjective

Reason for session: [Client's stated reason and goals] (Use client's distinctive words in quotes when appropriate. Include 1–3 goals such as stress reduction, sleep support, or emotional grounding.)

Interval history: [Changes since last visit] (Include only if not first session; summarize relevant symptoms, stress level, or aftereffects from prior session. If first session, state "Initial session.")

Baseline ratings: [Pre-session stress, pain, or other scales if used] (If not assessed, state "Not assessed.")

Session & Observations

Duration: [Total minutes]

Client positioning: [Supine / Prone / Seated / Side-lying / Mixed]

Hand placements/focus areas: [Brief sequence or regions addressed]

Adjuncts: [Guided breathing / Music / Aromatherapy / None] (Specify only if used.)

Client response (observable): [Breathing pattern, muscle tone, affect, tearfulness, movements] (Describe observable signs without interpretation.)

Client-reported experiences: [Client statements regarding sensations or experiences] (Use quotes for distinctive statements.)

Pre-/post-session scan: [Qualitative observations by body region] (Document as practitioner-perceived sensations such as warmth, coolness, or tingling. Avoid medical diagnostic language.)

Post-session ratings: [Post-session scale scores for comparison to baseline] (If baseline not assessed, state "Not assessed.")

Adverse events: [None / Description of event and actions taken]

Assessment

[Summary of session completion, tolerance, and goal attainment] (Provide 2–4 sentences. Base on client report and observed responses. Use neutral phrasing such as "client reported improvement in..." or "appeared more relaxed." Avoid causal medical claims; do not imply Reiki diagnoses or treats disease. Note any concerns warranting referral.)

Plan

Follow-up: [Recommended timing and rationale]

Self-care guidance: [Hydration, rest, grounding practices, or other recommendations given]

Self-Reiki instruction: [Provided / Not provided] (If provided, briefly note content.)

Referrals: [None / Referred to provider/discipline for reason] (Include if safety concerns or red flags identified.)

Practitioner Signature

Signature: [Practitioner name, credentials, date/time signed]

(If information for any field was not obtained or is not applicable, state this explicitly rather than leaving blank.)