Client Consent for Treatments

NEW FORM UPDATED 24/11/2020

Client Consent for Treatment During COVID-19 Pandemic

I understand that Covid-19 has been declared a worldwide Pandemic, is contagious and is believed to spread by person to person contact and as a result social distancing of 1 metre is recommended. This is not entirely possible with my treatment, however I am satisfied that measures are in place to minimise risk and contact will be kept to an absolute minimum in line with my treatments.

I understand that my therapist is closely monitoring the Covid-19 situation and has put in place preventative measures aimed to reduce any spread of Covid-19 - this will be updated on a regular basis.

I understand the Covid-19 virus has a long incubation period, during which carriers of the virus may not show symptoms and still be contagious. I can confirm that I am not presenting with any of the following symptoms of Covid-19 listed below: Fever / Shortness of breath / Loss of Sense, Taste or Smell / Sudden Dry Cough / Sore Throat. I can also confirm that I have not been in contact with anyone who has Covid-19 symptoms.

I can confirm that if I develop Covid-19 symptoms following my treatment, or a known contact of mine develops symptoms, I will immediately inform the salon to enable appropriate measures to be put in place and contact tracing to commence.

Please print your name to confirm the above

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