Amid the ongoing uncertainty of COVID-19 we have modified our way of doing business. As a way to implement the new protocols that have been put in place by the CDC, Massage Association, and Division of Consumer Affairs. A pre-screening has to be done the day before your Massage Appointment. Fill out the form and send it back the day before your massage. You will receive a phone call to go over A few items and your intake form.

WHAT TO EXPECT

Expect your temperature to be taken, You must wear your mask at all times, Washing hands and Hand sanitizer will be available.

QUESTIONS

1) Have you had a fever In the last 24 hours or 100 degrees F or above? Y or N

2) Do you now or have you recently had any respiratory or flu symptoms, sore throat, or shortness of breath? Y or N

3) Have you been in contact with anyone in the last 14 days who has been diagnosed with COVID-19 or has Coronavirus type symptoms? Y or N

I understand that because Massage Therapy work involves maintained touch and close physical proximity over an extended period of time there may be an elevated risk of disease transmission, including COVID-19.

By signing this form. I acknowledge that I am aware of the risk involve and give consent to receive Massage. 

Please download, print, sign, and email us this form.