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- Cookie Information - learn how we use cookies at ReikiEma
Learn about the use of cookies on our website. Find essential Cookie Information and our Privacy Policy from ReikiEma in Leigh, St Helens and Warrington, UK Home Page Nga korero Pihikete XSRF-TOKEN Whakamahia: nga take haumaru Kua rongoa mo: Wātū Momo Pihikete: He mea nui hs Whakamahia: take haumarutanga Kua rongoa mo: Wātū Momo Pihikete: He mea nui svSession Whakamahia: i roto i te hononga ki te takiuru kaiwhakamahi Kua rongoa mo: 2 tau Momo Pihikete: He mea nui SSR-keteroki Whakamahia: hei tohu i te punaha i puta ai te waahi Kua rongoa mo: 1 meneti Momo Pihikete: He mea nui _wixCIDX Whakamahia: mo te aroturuki / patuiro i te punaha Kua rongoa mo: 3 marama Momo Pihikete: He mea nui _wix_browser_sess Whakamahia: mo te aroturuki / patuiro i te punaha Kua rongoa mo: S ession Momo Pihikete: He mea nui kaupapa here-whakaae Whakamahia : mo nga tawhā kara pihikete Kua rongoa mo: 12 marama Momo Pihikete: He mea nui smSession Whakamahia: ki te tautuhi i nga mema kua uru mai ki te pae Kua rongoa mo: Wātū Momo Pihikete: He mea nui TS* Whakamahia: mo nga take haumaru me te aukati i te tinihanga Kua rongoa mo: Wātū Momo Pihikete: He mea nui bSession Whakamahia: mo te inenga whaihuatanga o te punaha Kua rongoa mo: 30 meneti Momo Pihikete: He mea nui fedops.logger.sessionId Whakamahia: mo te inenga pumau/tikanga Kua rongoa mo: 12 marama Momo Pihikete: He mea nui wixReo Whakamahia: i runga i nga paetukutuku maha hei tiaki i te manakohanga reo kaiwhakamahi Kua rongoa mo: 12 marama Momo Pihikete: Mahi
- Our Privacy Policy at ReikiEma
Protecting your data is our priority. Learn about the data we collect, how we use it, and your rights. Stay informed with our Privacy Policy. Kaupapahere Tūmataiti Raraunga kohikohi tatou Ka kohia, ka penapenahia e matou nga korero ka kohia aunoa e tenei paetukutuku, me nga korero ka tukuna e koe ma te imeera, puka, tuhinga, waea ranei. Ko nga korero ka tukuna e koe ka whakamahia anake mo te kaupapa i tukuna e koe (hei tauira, ma te whakamahi i to wahitau imeera me to nama waea ki te whakautu ki to karere, ki te whakarite hui ranei mo koe, mena kua tono koe e), mo ReikiEma. Ka kohia hoki e matou te IP (Internet Protocol) wāhitau e whakamahia ana e to rorohiko ki te hono atu ki te ipurangi, rorohiko me nga korero hononga, me te hoko hitori. Ka whakamahi pea matou i nga taputapu tātari hei ine me te kohikohi korero mo to huihuinga i runga i te Reikiema.com , tae atu ki nga wa whakautu wharangi, te roa o te wa e pau ana ki etahi wharangi, nga korero taunekeneke wharangi, me pehea koe e tirotiro haere atu ai i te wharangi. Ka kohia ano e matou nga korero tautuhi (tae atu ki te imeera, te ingoa, nga whakawhitiwhiti korero), nga korero, nga urupare, nga arotake, nga taunakitanga me nga korero whaiaro. Me pehea te whakamahi i o raraunga Kare matou, kare ano hoki e hoko i o raraunga. E kore matou e tohatoha i o raraunga ki tetahi atu whakahaere (mehemea ka hiahiatia e te UK, he ture ture ranei o te ao e pa ana). E kore matou e whakamahi i o raraunga e pa ana ki etahi atu mahi, mahi pakihi ranei, me te kore i whiwhi whakaaetanga tuatahi ki te mahi pera. Ko nga korero ka kohia e matou mo to whakamahi i te paetukutuku ka whakamahia pea ki te ako mo o hiahia hei kaihoko, me te whangai ano ki te mohio ki te mahi me te whai huatanga o te paetukutuku ake, ki te whakapai ake i te uru me te whai hua. Ka kohia e matou enei raraunga whaiaro me te kore-whaiaro, mo nga kaupapa e whai ake nei: Hei whakarato me te whakahaere i nga Ratonga; Ki te whakarato ki a maatau kaiwhakamahi me nga manuhiri ki te awhina i nga kaihoko me te tautoko hangarau; Kia taea ki te whakapā atu ki a tatou manuhiri me nga kaiwhakamahi me nga panui whanui me nga panui e pa ana ki nga ratonga me nga panui whakatairanga; Ki te hanga i nga raraunga tatauranga whakahiato, me etahi atu korero whakahiato/whakaahua kore-whaiaro, ka whakamahia e matou, e o maatau hoa pakihi ki te whakarato me te whakapai ake i a maatau ratonga; Ki te whai i nga ture me nga ture e pa ana. Me pehea e penapena ai o korero Reikiema.com kei runga i te papaaho Wix.com. Ka whakawhiwhia e Wix.com ki a maatau te papaahi ipurangi e taea ai e matou te hoko atu i a maatau ratonga ki a koe. Ka penapenahia o raraunga ma te rokiroki raraunga a Wix.com, nga papaa raraunga me nga tono whanui Wix.com. Ka penapenahia e raatau o raraunga ki runga i nga tūmau haumaru kei muri i te papangaahi. Me pehea me te take ka whakapā atu matou ki a koe Ka whakapā atu pea matou ki a koe ki te whakamohio ki a koe mo o maimoatanga, ki te whakarite arotake mo o maimoatanga, ki te whakatau i tetahi tautohetohe, ki te kohi utu, moni nama ranei, ki te pooti i o whakaaro ma roto i nga rangahau me nga paatai, ki te tuku korero mo to kamupene, ki te kore e tika, ki te whakamana i ta matou Whakaaetanga Kaiwhakamahi, nga ture a te UK e tika ana, me etahi whakaaetanga kei a matou me koe. Mo enei kaupapa ka taea e matou te whakapiri atu ki a koe ma te imeera, waea, karere kuputuhi, me te mēra. Pihikete Ka whakamahi a Wix.com i nga pihikete hiranga me te mahi, kei te rongoa i runga i to rorohiko. Kei te waatea etahi atu korero i runga i ta maatau wharangi Panui Pihikete . Whakaaetanga Mena kei te pirangi koe ki te whakaputa ki waho, ki te tango ranei i to whakaaetanga mo matou ki te kohi, ki te penapena me te whakamahi i o raraunga, penei i runga ake nei, tena koa whakamohio mai ma te imeera, ki: reikiema.therapy@gmail.com , ma te reta ranei, ki: ReikiEma (FAO Ema Melanaphy) Huinga 3, 3-5 Wilson Patten Street Warrington Cheshire WA1 1PG Whakahōu Kaupapahere Tūmataiti Kei a matou te mana ki te whakarereke i tenei kaupapa here tūmataiti i nga wa katoa, na koa tirohia mai i nga wa katoa. Ko nga huringa me nga whakamaramatanga ka whai mana tonu i runga i ta ratou tukunga ki te paetukutuku. Mena ka whakarereketia e matou tenei kaupapa here, ka whakamohio atu matou ki a koe i konei kua whakahouhia, kia mohio ai koe he aha nga korero ka kohia e matou, me pehea te whakamahi, me nga ahuatanga, mehemea he, ka whakamahia e matou, ka whakaatu ranei. te reira. Nga Uiui me nga Tono Whakauru Kaupapa Mena kei te pirangi koe ki te uru atu, ki te whakatika, ki te whakatika, ki te whakakore ranei i etahi o nga korero kei a matou mo koe, me waea mai ki a matou ma te imeera, i runga: reikiema.therapy@gmail.com , ma te reta ranei, ki: ReikiEma (FAO Ema Melanaphy) Huinga 3, 3-5 Wilson Patten Street Warrington Cheshire WA1 1PG Ka tukuna atu e matou he whakautu ki a koe mo to tono ma te tikanga ano i whakapā mai koe ki a matou, me te kore whakaroa, a i roto i te waa 30 ra (i runga i te ture o te UK)
- ReikiEma Gift Cards
Looking for the perfect gift? Send one of our gift cards for holistic therapy sessions at ReikiEma in Cheshire, Greater Manchester, Lancashire and St. Helens, UK. Give the gift of wellness today! E-gift Cards eGift Card £25 You can't go wrong with a gift card. Choose an amount and write a personalized message to make this gift perfect! Wellbeing treats for everyone - from Reiki to Pregnancy Massage, and Courses. Amount £25 £50 £100 £150 £200 Other amount Quantity Buy Now The gift of Wellbeing: from Reiki to Womb Massage, from Reiki Meditation downloads to Reiki courses. Make someone's day with a thoughtful present that's as unique and special as they are.
- Refer a Friend | ReikiEma
https://static.wixstatic.com/media/7cafce_370971e2a0bb42209a67f25a5bf4c7e3%7Emv2.png Reiki Master Teacher Reiki Courses CNHC Reiki practitioner Animal Reiki Natural Lift facial Shiatsu massage Womb massage Pregnancy massage Meditation https://static.wixstatic.com/media/7cafce_1e380e6d99034f7d927697a7920778de~mv2.png The referral program is not available.
- Qualifications/ Professional Credentials | ReikiEma
Ema Melanaphy's qualifications, certifications and Professional Credentials as a trusted, accredited expert Holistic Practitioner, Teacher and Wellbeing Professional. Ema Melanaphy's Qualifications & Professional Credentials Ema Melanaphy Founder of ReikiEma Phone: Usui Shiki Ryoho (Reiki) Level 2 Email: Date of certification: 10/01/2020 Certification from: Ann Singleton, Reiki Master Teacher, UK Reiki Federation member and CNHC-accredited NOS level 3 Reiki Diploma Course Teacher info@mysite.com Address: Professional-level Certificate (alongside Professional Insurance and a Reiki Master Lineage back to Mikao Usui (the founder of Reiki), this qualification entitles a person to begin offering Reiki professionally, in the United Kingdom). Usui Shiki Ryoho & Usui Reiki Ryoho (Reiki, Eastern & Western style methods) Master Teacher Certificate Date of certification: 30/10/2021 Certification from: The Reiki Academy - Torsten Alexander Lange, Reiki Master Teacher, UK Reiki Federation History Ambassador. Professional-level Certificate (alongside Professional Insurance and a Reiki Master Lineage back to Mikao Usui (the founder of Reiki), this qualification entitles a person to teach Reiki courses, to attune people to Usui Reiki at all levels up to and including this level, and to issue certificates and Reiki Master lineages to anyone they attune. Usui Shiki Ryoho: Professional Practitioner Diploma (as verified by the UK Reiki Federation and CNHC) Date of certification: 28/03/2022 Certification from: Ann Singleton (CNHC-approved Diploma Course) Professional-level Diploma Certificate accredited by the UK Reiki Federation as meeting the CNHC's (Complementary Natural Healthcare Council) standards and requirements for Reiki Registrants - including at least 9 months between Reiki level 1 and completion of the course, 10 Case Studies of 4 treatments each, an assessed treatment, answering a series of questions to establish the practitioner understands and can apply the ethical and professional competency requirements of CNHC registrants, and providing Insurance and all Reiki qualification certificates. The CNHC is a voluntary Regulator, and according to the General Medical Council , Medical Professionals in the UK can refer patients to CNHC registrant practitioners. Membership of this register shows a deep commitment to professional standards, ethics and integrated healthcare. It is a marker of trust, and working to meet all the requirements of this qualification took Ema 2 and a half years to attain. Current CNHC Certificate of Registration (originally issued 04/2022) Date of certification: 06/04/2025-6 Certification from: The Complementary and Natural Healthcare Council Registration number: CNHC06607 Current (valid) Certification issued by the Complementary and Natural Healthcare Council. This certifies Ema Melanaphy's status as a currently Registered Reiki Professional Practitioner, and means that Ema is regulated by the CNHC, and appears on their Register (available and searchable online here ). It also authorises Ema Melanaphy to use the CNHC logo in relation to Ema's professional Reiki practice (for humans). UK Reiki Federation - certificate of recognition as an Animal Reiki Professional Practitioner Date of certification: 11/04/2022 Certification from: UK Reiki Federation When the Reiki Council's Animal Reiki Profession was introduced by the UK Reiki Federation , Ema was one of the earliest Members in North West England to apply for Animal Reiki accreditation. The accreditation requirements were reassuringly rigorous, and involved an application form, competency questions, submission of case studies and sending in in certification and Animal Reiki professional Insurance for verification and validation. As one of their certified Animal Reiki Practitioners, Ema Melanaphy appears on the UK Reiki Federation's Searchable directory for Animal Reiki Practitioners, which you can access here . Pregnancy Massage (including abdominal massage) Diploma Date of certification: 17/04/2023 Certification from: Gateway Workshops This is Ema's Pregnancy Massage diploma certificate. A face-to-face course, with practical and theory training, and a tutor assessment. "Natural Lift" Facial Rejuvenation Massage Date of certification: 18/08/2024 Certification from: Gateway Workshops Reiki for Animals Certificate Date of certification: 17/03/2021 Certification from: Jo Rose, Animal Physical Therapy, Applied Behaviour and Courses Continuous Professional Development certificate having spent one day of in-person training with the teacher, in December 2020, and having completed several Animal Reiki case studies, as well as homework assignments. As a Professional Reiki Practitioner for humans at the time, having been volunteering regularly at the RSPCA offering Reiki to the cats and dogs there, for 9 months at this point, this certificate qualified Ema to add Reiki for Animals to their Professional Insurance, in order to add it to their Professional Services, when the lockdown restrictions ended. Holistic Acupressure Practitioner/Foundation-level Shiatsu Certificate Date of certification: 01/09/2021 Certification from: Shiatsu College (Manchester) This certificate was awarded to Ema after completion of the first year of a 3-year Shiatsu Diploma course (which took 2 years, due to the pandemic preventing normal teaching and practice treatments during the lockdowns and Social restriction rules. Ema was the only 1st year student to complete the course requirements and to receive this certificate, in their year group. Completion of the first year of this level 4 (CNHC-accredited) Diploma course enables Ema to offer student-level Shiatsu, and Holistic Acupressure (the certificate awarded for completion of the first year, has since been changed to "Bodywork for Wellbeing" from Holistic Acupressure). This certificate requirement included 50 Shiatsu pratice treatments given, 3 professional Shiatsu treatments received, attendance at 2 full days of training per month (22 days per year), home study and assignments, as well as an Anatomy and Physiology Course, and practical assessments. Therapeutic Meditation Teacher Certificate Date of certification: 02/12/2020 Certification from: Ann Singleton, Meditation Teacher and Usui Reiki Master Teacher This is Ema's Therapeutic Meditation Teacher qualification. The course was carried out remotely with assignments, online live teaching and practice, and a final live practical and case study assessment. Ema is certified to offer 121 and group meditations, as well as recorded therapeutic meditations, in a range of different styles, for different therapeutic and lifestyle/wellbeing requirements. This is Ema's "Natural Lift" Facial massage Practitioner Diploma certificate. A face-to-face course, with practical and theory training, and an in-person practical tutor-assessed treatment. Ema is also DBS Certified, fully professionally insured, and a current UK Reiki Federation member (listed on the UK Reiki Federation website). For further information or if you have any queries, please contact ReikiEma .
- ReikiEma's Clients' Testimonials
Discover heartwarming testimonials from satisfied clients of our holistic therapy services at ReikiEma across Merseyside, Greater Manchester, Lancashire and Cheshire, UK. See the impact of our work in these client testimonials! He aha nga korero a aku kaihoko... Ema is professional, kind and incredibly knowledgeable. She really took her time to listen to my situation and needs, answer questions and explain things. She also sent valuable, follow-up information after the session tailored for my wellbeing. After the treatment I had a reduction in pain, which was what I had sought, but I also felt a whole body and mind benefit. I have already rebooked. Swin Purple, Burscough
- Rewards | ReikiEma's Loyalty Program
Collect loyalty points each and every time you make a booking or subscription on www.reikiema.com with our loyalty program. Self-care just got a wholistic lot more rewarding!! Kainga Mō Treatments Gifting Projects Challenges Nga Korero me nga Takahanga Members Search Results Refer Friends More Earn points and turn them into rewards Become a Member 01 Sign Up Sign up as a member to start enjoying the loyalty program 02 Earn Points Book a session Get 10 points Buy a ticket Get 1 point for every £ 1 spent Buy an online program Get 1 point for every £ 1 spent Order a plan Get 30 points Purchase a product Get 1 point for every £ 1 spent RSVP to an event Get 10 points Sign up to the site Get 25 points 03 Redeem Rewards 10% off all bookings 50 Points = 10% off for all services Free Meditation 30 Points = 100% off a specific product Free mobile Reiki treatment 150 Points = 100% off a specific service 1/3 off a Mobile facial massage 100 Points = 33% off a specific service Free womb massage (with Reiki) at home 150 Points = 100% off a specific service Free at-home Pregnancy massage 150 Points = 100% off a specific service Free mobile Shiatsu treatment 150 Points = 100% off a specific service Baby Bliss package for the price of Preg. massage 100 Points = £ 40 off a specific service *25% off* Mobile Wellbeing bundle 100 Points = 25% off a specific plan Half-price Animal Reiki session 150 Points = 50% off a specific service Pay for Mobile Reiki - add acupressure for free 100 Points = £ 15 off a specific service Distance Animal Reiki discount 100 Points = £ 7.50 off a specific service Pick & Mix: Redeem points for a discount 10 Points = £ 0.50 discount ReikiEma Rewards
- Womb Healing Massage with Reiki in the UK, at ReikiEma
Experience the deep healing and transformative power of Womb Healing Massage at ReikiEma in Cheshire, Merseyside and Greater Manchester, UK. Discover the benefits of womb massage, reconnect with yourself more deeply, empower and unleash the inner goddess within you, and find out what this powerful, deeply moving therapy can offer you. With massage over your abdomen, sides and back,acupressure, Reiki and energetic connection, to support your digestive and reproductive systems' harmony and balance Womb Healing Massage Deep Healing, Health-boosting, Nourishing What is Womb Healing Massage? Womb Healing massage is a holistic treatment, which combines gentle therapeutic massage over the abdominal area, sides and lower back, with Energy work techniques from Reiki and Shiatsu. This beautiful, powerful healing can also incorporate guided meditation, if requested, to assist with some of the deeper layers of spiritual and emotional healing work which can be incorporated into this treatment. As a holistic therapy, a Womb Healing massage takes place within a sacred energetic space. I hold space for your womb and her wisdom; the seat of all human life, universe for unborn children, projects and intentions. The womb space is our connection direct into the same ancient power and wisdom which birthed the universe, even time and space. It’s the microcosm of the vast mysterious macrocosm - and it lives within us, informing our experience and potential; a source of true power and intuitive knowingness. When we connect with our womb space, hold space for it, with love, compassion and honour, then magic and deep healing can begin to happen. Book now Who is Womb Healing massage for? Anyone who has, or has had a womb, regardless of whether they have or have ever had a menstrual cycle. This treatment can take place for people at any age or life stage. The womb is a crucial part of how those who house one, experience life; she is not simply a functional means to an end or an inconvenience - she is a living, vital, feeling part of us. Connecting with the womb on this holistic level, during a Womb Healing Massage, can allow deep healing to take place - which is so often needed. Sometimes it can be an entire lifetime's healing which is needed. It's never too late or too early to connect in, and claim your power - your birthright. There can be so much judgement, trauma and pain that we, as humans, store here. And the beautiful healing practice of Womb Healing Massage allows you to connect with a hidden, often stigmatised and secret, part of yourself – to gift acceptance, love and full integration of all aspects of yourself, into who you are. This is often a form of shadow-work - bringing your whole self into the light of acceptance and ownership. And this is the true way to gain insight, deep healing, wholeness and ultimately, the unshakable strength that only true self-acceptance and self-knowledge can bring. Book now What happens in a Womb Healing Massage? For this treatment I use a natural, unscented grapeseed oil, and gently massage your whole abdominal area, in a clockwise direction, following the same direction taken by the digestive system, and supporting this nourishing, nurturing flow. I may use acupressure points on the Conception channel (one of the two central channels in Traditional Chinese Medicine) as well, which connect energetically with the reproductive organs, as well as with our digestive organs, to bring balance and harmony. I can also incorporate acupressure points on the legs and feet, to further help re-balance and support your body, energetically. Massaging the womb area can also help re-situate the womb if it’s become misaligned, and also stimulates blood flow, shifting any stagnation, and helping refresh and revitalise the womb. In this treatment I also use Reiki intuitively, to provide deep healing, warmth and connection for you and your womb, on whatever level your journey takes place, on that day. I hold space for you and your womb, honouring her power, using intention and energy to support your journey, in a safe, sacred space of healing. Deep healing like this requires vulnerability, and as guardian and facilitator of this healing experience, I use my compassion, strength and energy to make that possible, in the way that’s right for each individual person. Some people want to be witnessed and accompanied, some people need more space and solitude in the energetic space within – whatever degree of personal space/guidance is required by you, is exactly what I will provide. This is your experience - your healing, and your intuition and individual needs are at the heart of that. Trust yourself. You hold the key to your own healing, even if it's hidden - and I'm there to support you during that process. For some people, a guided meditation can be a helpful opening for self-connection within, especially if there’s a tendency towards busy mind, or a need to be offered a more clearly defined pathway. As an experienced therapeutic meditation teacher, I can offer this support and guidance – using my voice and words as an extension of my energy work, this can be a powerful way to engage the mind in the healing process. Book now What are the benefits of Womb Healing Massage? On the physical level, Womb Healing Massage can help improve blood and energy circulation and flow to both the reproductive and digestive systems. It can encourage hormonal rebalance and assist in the optimal positioning of the womb and uterus. Womb Healing Massage can be helpful in supporting the female reproductive system, where gynaecological concerns are present, such as PMS, endometriosis, blood clots, amenorrhea (missing or irregular periods), lower back pain, adhesions, vaginitis and IBS. It can also be a good way to help enhance your preparations for IVF or ART. As a holistic therapy, Womb Healing Massage can help your whole body's balance, and wellness on all levels. Womb Healing Massage can help with relaxation and stress management. It can also facilitate the release of past trauma (which, until healing takes place, is held within the body), enabling deep emotional or psychological wounds to be addressed. It gives you permission not only to connect with your body, but to honour that part of your experience which may not be welcomed, respected or even seen by the wider world. Womb Healing Massage allows you to connect with, and nurture your sacred womb space, and natural rhythms of your life: the cyclical ebbs and flows of energies and different strengths these states offer you. Womb Healing Massage provides you the means to connect with, and release, emotions, experiences, judgement and hurt which can have been held in the womb space for years, even decades. This is a deeply moving treatment, and can be tremendously empowering - allowing you to connect with yourself and the power of the Universe (or your goddess within). Some people find it helpful to decide on an intention or a question/request for wisdom, which they will ask of their womb. They can then take that intention with them into the energetic healing space, to be held during the treatment, and then revisited again, once the session is complete. The Womb Healing Massage takes place on a very deep level, and language can’t truly capture its essence - as is the case with most treatments which are deeply spiritual and energetic. However, here is what one person said, after receiving her first womb massage: "Recently had Womb massage with a wonderful lady named Ema. An absolutely beautiful experience with major energetic releases and visions during the course of the treatment. This for me is an ongoing process of self discovery and healing, not only myself but my entire female ancestral line. Would highly recommend both Ema and the treatment for all women wanting to heal their relationship with their womb portal and to innerstand their feelings relating to this very sacred vessel that we have the honor to carry . Thank you Ema for providing such a safe , sacred place, for me to connect back to my divine feminine ❤️" If this resonates with you, and if you're ready to discover more about stepping into your own powerful healing journey with Womb Healing Massage, then click below to book your first session. Book now
- Animal Healing Meditation | ReikiEma
Discover the power of animal healing meditation with ReikiEma's guided Animal Healing meditation. Learn how to support your animal companion, with this easy to follow, tutorial and guided audio by Ema, in Cheshire, Merseyside, Greater Manchester and Lancs, UK. You and your furry friend can reap the benefits of Ema's applied experience of this holistic therapy. Find greater calm and bonding through this experience, designed to bring you both deeper, peace and presence. Animal Healing Meditation Watch Preview £ Buy from £ 5.99 Facebook Twitter Pinterest Tumblr Copy Link Link Copied
- Pregnancy Post-Natal Massage Client Form | ReikiEma
Pregnancy and post-partum Massage New Client online form Pregnancy & Post-Natal Massage Client Form Pregnancy/Post-Natal Massage: Medical & Consent Form * First name * Last name * Date of Birth Day Month Month Year * Address * Phone Email * Emergency Contact: Name & relationship to you * Emergency Contact: Phone number (for us to phone/text) How did you hear about ReikiEma? Google Search Other Website Search Recommendation/Word of Mouth Social Media Other Yes, subscribe me to your newsletter. * Have you received Massage Therapy or Bodywork before (including before pregnancy)? Yes No Medical Details * GP Address * GP Surgery Phone number * Have you received Massage Therapy or any other Complementary or Holistic Therapies before? Past Complementary Therapies/Massage If yes, what type of therapy, and (approximately) when was your last treatment? Other therapies * Are you currently taking any Medication? Yes - prescribed Yes - not prescribed No * If you are taking any medications, please specify the name if you can, and what it's for. Medications info * Do you exercise? Yes No If you answered "yes" to the previous question, how many times per week, for how long, and what type(s) of exercise? Exercise info Please list and briefly describe any conditions or symptoms you have experienced, or are experiencing. * Any allergies or sensitivities * Have you had any serious or chronic illness, operations or traumatic accidents? Serious or chronic illness, surgery or traumatic accidents * Pre-natal Care Provider Pre-natal Care Provider info May I have permission to contact your Care Provider? * Due Date Day Month Month Year * This is my (number: 1st, 2nd etc) Pregnancy Pregnancy Number * This will be my (number: 1st, 2nd...) birth. Birth number * Please tick current problems. Anaemia Leaking Amniotic Fluid, or Vaginal Bleeding * Bladder infection * Uterine bleeding * Blood clot or phlebitis * Chronic hypertension * Abdominal Cramping * Diabetes (gestational or mellitus) Oedema/swelling Fatigue Headaches Insomnia High Blood Pressure * Leg cramps Miscarriage * Heartburn Nausea Problems with placenta * Pre-term labour * Pre-eclampsia (toxemia) * Sciatica Separation of the rectus muscles Separation of the symphysis pubis Skin disorders / athlete's foot Excess thirst Varicose Veins Visual disturbances * Previous caesarian birth Contagious conditions Muscle sprain/strain Heart attack/stroke Constipation Carpal Tunnel Syndrome Low Blood Pressure Morning sickness Anxiety, stress or mood swings Breathlessness Other conditions or problems in current or past pregnancy (please detail below) Anything else you would like me to know? (please detail below) Current pregnancy conditions and symptoms * Please tick any problems experienced in previous pregnancy(ies) Anaemia Leaking Amniotic Fluid, or Vaginal Bleeding Bladder infection Uterine bleeding Blood clot or phlebitis Chronic hypertension Abdominal Cramping Diabetes (gestational or mellitus) Oedema/swelling Fatigue Headaches Insomnia High Blood Pressure Leg cramps Miscarriage Heartburn Nausea Problems with placenta Pre-term labour Pre-eclampsia (toxemia) Sciatica Separation of the rectus muscles Separation of the symphysis pubis Skin disorders / athlete's foot Excess thirst Varicose Veins Visual disturbances Previous caesarian birth Contagious conditions Muscle sprain/strain Heart attack/stroke Constipation Carpal Tunnel Syndrome Low Blood Pressure Morning sickness Anxiety, stress or mood swings Breathlessness Other conditions or problems in current or past pregnancy (please detail below) Anything else you would like me to know? (please detail below) Previous pregnancy conditions and symptoms Further details on current/past pregnancy conditions/symptoms Further details on pregnancy conditions/symptoms I am experiencing a low risk/high risk pregnancy, according to my doctor/midwife. Disclaimer / Client Statement For my records, I need to confirm that you have read, understood and answered all of the previous questions. If there is anything you do not understand, or wish to ask about, please ask me now (before signing this statement). Otherwise, please read the following statement, and sign below to show that you agree. To the best of my knowledge, the information I have given in this form is true, and I have not withheld any information concerning my health. I will keep Ema Melanaphy updated on my health, should there be any changes to the answers already given. If I have, or develop any medical complications (marked with * in the list above) I will discuss the condition with my massage therapist, and will get a medical release signed by my pre-natal care provider, before continuing bodywork. * Client Signature Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload. Date Day Month Month Year Submit