By attending my appointment:
I agree that I am not currently experiencing any of these symptoms:
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Cough
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Shortness of breath or difficulty breathing
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Fever
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Chills
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Sore throat
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New loss of taste or smell
Please note: Other less common symptoms have been reported, including gastrointestinal symptoms like nausea, vomiting, or diarrhea.
I agree that I have not:
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Tested positive for COVID-19
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Knowlingly been exposed to someone with COVID-19
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Recently traveled to an area with high infection rate
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Been in an area where social distancing was not properly observed
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Been to a nursing home
If you have experienced any of the above, please reschedule your appointment at least 14 dyas from now.
I understand that both the therapist and myself are required to wear a mask during the session with the exception to when I am in prone position (faced down).
I have read/reviewed the Safety Standards and agree to it.