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.