By attending my appointment…
I agree that I am not currently experiencing any of these symptoms:
Please note: Other less common symptoms have been reported, including gastrointestinal symptoms like nausea, vomiting, or diarrhea.
I agree that I have not:
If you have experienced any of the above, please reschedule your appointment at least 14 days from now.
If I have tested positive for Covid-19, have quarantined and recovered, I will have taken a Covid-19 test and have a negative result before going to the appointment.
If I have received vaccinations, I will provide vaccination dates to my practitioner at the time of appointment to be entered into my Health Chart.
Center for Life Design
684 Excelsior Blvd, Ste 120
Excelsior, MN 55331