I understand that the novel coronavirus causes the disease known as COVID-19. I understand the novel coronavirus has a long incubation period during which the carriers of the virus may not show not show the symptoms and may still be contagious.
I understand that physical distancing of 6 feet may not be possible while in the salon receiving services.
I understand that I must sanitize my hands before entering the salon and I must wear a mask that covers my mouth and nose while in common areas. I will minimize touching of nail polish and inform my technicians after I made my selections. Hard surfaces such as door handles, Ipads, payment terminals, and countertops will be wiped after each client.
I confirm that I am not currently positive for novel coronavirus.
I confirm that I am not waiting for the results of a laboratory test for the novel coronavirus.
I verify that I have not returned to Ohio from any country outside of the US, whether by car, air, bus or train in the past 14 days.
I verify that I have not been identified as a contact of someone who has test positive for the novel coronavirus or been asked to self-isolate by The Ohio Department of Health, or any other government agency.
I confirm that I am not presenting with any of the following symptoms of COVID-19 indentified by the CDC
Fever > 38C, or 100F, chills or body aches
Cough
Sore Throat
Shortness of breath
Difficulty breathing
Flu-like symptoms
Runny Nose
Loss of smell or taste
I confirm that I am not in high risk category for increased illness or death from COVID-19, including : diabetes, cardiovascular disease, hypertension, lung disease including moderate to severe asthma, being immunocompromised (including transplant recipient), having active malignancy or over the age of 65.
I understand that for the safety of everyone, my temperature will be check before the services are started.
I understand that I may be unable to proceed with services at Fab Nail and Lash Spa if they are deemed unsafe to myself or a staff member
I understand I may NOT bring children or anyone else who does not have an appointment into the salon.
I understand the staff of Fab Nail and Lash Spa will do everything possible to minimize the spread of COVID – 19, but will not hold them responsible should I contract the COVID – 19.
I will immediately notify the salon if I contract the virus within two weeks following my visit.
I verify that the information I have provided on this form is truthful and accurate.