Client Intake Form
Please fill out this form prior to booking your appointment. Submitting this form is a request to book.
What service are you interested in today?

I understand and acknowledge that Jeanette Micallef is a Reiki Master, Certified Medium, Tarot Reader and Certified Yoga Instructor, and is in private practice for the purpose of providing mental, emotional, physical and spiritual support using these techniques. I also acknowledge that Jeanette Micallef is not a medical doctor or mental health care professional, and accordingly cannot and will not provide medical or psychological advice. I understand that Jeanette's skills and tools are beneficial for increasing my mental, emotional, physical and spiritual awareness through the transfer of loving and compassionate energy through cards and messages (Tarot), through the movement of energy and appropriate laying on of hands (Reiki), and through instruction in yogic movement of the body and breathwork (Himalayan Kundalini and Kriya Yoga).

I understand that Jeanette Micallef is a Reiki Master who has been certified and attuned to provide Reiki services. She is a certified medium, as well as a certified Yoga Teacher in the Himalayan Kundalini and Kriya Yoga traditions.


Ms. Micallef will respond to my inquiries by providing positive reinforcement and appropriate feedback. I acknowledge that it is my responsibility to advise Ms. Micallef in regards to my levels of comfort or discomfort, along with any other information that might influence or affect her ability to support me.

I recognize that Reiki, Tarot and Yoga are only a few factors in the support of my well-being. I also recognize that it is ultimately my choice to follow suggestions made or instructions taught by Ms. Micallef and that it may be advisable to consult with my medical or mental health professional prior to doing so.

In consideration of the services, information and support I have received or will receive hereafter from Ms. Micallef, I hereby hold her harmless from any and all liability in consequence of such services, information and support given, and release and waive all claim for damage, however incurred or to be incurred, as a result of such services, information and support.

Thanks for submitting! We will be in touch shortly.

COVID-19 Health Declaration
Please fill out the following health declaration form in order to participate in our services. Submissions are valid up to 24 hours prior to your appointment.
Are you experiencing any flu symptoms?
Have you been exposed to anyone with COVID-19?