Reiki Center of Indiana is proud to present this Remote Reiki Treatment Opportunity


Remote Reiki Treatment Questionnaire

                    Thank you for requesting a remote Reiki treatment through the Reiki Center of Indiana.
                                 We are honored to assist you or your loved one during this time. 
Remote Reiki is conducted weekly, with multiple dedicated Reiki practitioners focusing
                     healing toward you or your loved one on Tuesday evening from 10:00 pm to 10:30 pm,
                    Eastern Standard Time.  Although Reiki is an intelligent, loving energy which needs no direction,
                    if you are comfortable in answering the optional question below it may be helpful for our
                    practitioners as they send the remote Reiki treatment.   

                               This important service is offered to you for the fee of $10.00 per person. 
                                Payment is accepted with PayPal, or send a check to the
                                      Reiki Center of Indiana
                                      Harrison Park Building
                                      8902 Otis Ave S103A
                                      Indianapolis, IN  46216 

                  You may also call 317-259-4599 to use a charge card.

                 You will receive a remote Reiki treatment four consecutive Tuesdays from 10:00 -10:30 pm. 
                 A reminder email is sent each week.

                 It is recommended for the optimal results during the treatment that you rest in a quiet location
                 on each of the four Tuesdays during your treatment from 10:00 – 10:30 pm.                  
You may also be sleeping during the time of the treatment.


** Complete a registration form for each person.**
    First Name:                  Date:

:                 E-mail:

Method of Payment                  Check        PayPal on webiste

$10 per person             

(Checks payable to "Reiki Center of Indiana")

Optional brief description of medical or emotional issue(s):