Healing Services: Client Intake Forms

Discover your true self through the healing energy.

Client Information

Reiki, Crystal & Sound therapies for relaxation, de-stressing, aura clearing, chakra balancing and deep healing.

Thank you for purchasing a healing session with Ascend Healing Arts!

In order to prepare for your treatment please fill out the Chakra Questionnaire and the Confidential Client Case History & Intake forms below. These forms are 100% optional but do provide us with insights while preparing for and providing your treatment. The information in these forms is emailed to a secure location and is never shared. The form will clear and no one will ever see your information.

Please feel free to contact me at any time should you have any questions.

Chakra Questionnaire

Confidential Client Case History & Intake Form