Reiki Distance Healing website title banner

Confidential Healing Request

Booking a Reiki Distance Healing session or block of sessions is easy.

I will always treat the information you provide in total confidence. I will never knowingly pass your details to any other organisation.

Your confidentiality, and that of anyone you book Reiki Distance Healing for, is assured at all times.

Just fill in the details below and leave the rest to me.


Your details

Please complete the following boxes with your details. Every week I will send you a short motivational and inspirational message absolutely free of charge. This is my way of saying thank you for visiting my site and for subscribing to Reiki Distance Healing sessions. Remember your details are never passed on to any other organisation

Your First name: Your Last name:
Your e-mail address:      
I need your e-mail address so that I can send you a confirmation of order. Once a week I shall also send you a short motivational and inspirational saying free of charge. Your details will be processed on my database. If you are happy for me to do this please check this box
Your location (town or city):   Country:
Thank you
Do you want Reiki Distance Healing to be sent to a person or persons?
Yes No
Do you want Reiki Distance Healing to be sent to a pet or animal?
Yes No
Do you want Reiki Distance Healing to be sent to an event?
Yes No