Send Healing Energy
to Anyone, Anywhere

Distance Reiki Healing Request

A distance healing session lasts about 15-20 minutes and costs $25.

To request a distance healing, please fill out the form below. If you would like the healing to be done at or before a specific date and time or for a specific reason, please indicate these in the Comments area. I will try to accommodate your schedule the best I can. You will receive an eMail message once the session is complete.

If you are requesting this HEALING FOR SOMEONE ELSE, please fill in your friend's information in addition to yours. It is best, but not necessary, for the receiver to be aware of the healing. This is so that you are sure they would be receptive to it.

Required fields are marked with an *.

Your Information

First Name *

Last Name *

Address

City *

State/Province *

Zip/Postal Code *

Country *

Phone

eMail *

Confirm eMail *

Comments

Friend's Information

First Name

Last Name

City

State/Province

Country