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COVID-19 * Treatment Consent Form *
By submitting this form, you agree to have treatments during the pandemic.
I agree to obey the rules of the Salon during my appointment in order to minimise the spread of viruses.
I confirm that I have not been diagnosed with COVID-19 within the last 14 days
I verify that I am not waiting for the laboratory test results for COVID-19
Do you have any of these symptoms? Cough, High Fever, Shortness of Breath, Muscle Pain, Body Ache, Nausea, Loss of Taste/Smell?
Within the last 14 days, have you been in contact with anyone that has had COVID-19 symptoms or has been infected?
Are you living with anyone that is infected or is quarantined due to COVID-19?
Did you have any adverse efects from the Covid-19 Vaccine?
I have not had the Vaccine
I confirm that the information given in this form is true
Thanks for submitting!