I enter my name below to acknowledge I knowingly and willingly consent to receive treatment during the COVID-19 pandemic.
I understand the COVID-19 virus has a long incubation period during which carriers of the virus may not show symptoms and still be highly contagious. It is impossible to determine who has the virus and who does not.
Hannah Sowd Skin Care has taken precautions to create a safe environment. It is unclear how long ultra-fine particles may linger in the air and it is unclear if these may transmit the COVID-19 virus.
I confirm that I am not presenting any of the following symptoms of COVID-19 :
I understand the CDC recommends social distancing of at least 6 feet which is not possible during the treatment I am about to receive.
I verify that I have not traveled outside the United States in the past 14 days.
I verify that I have not traveled by commercial airline within the past 14 days.
I understand it may be necessary to share my name and contact information with the city or state health department in the event that a client or practitioner at this facility tests positive for COVID-19.
My contact details will only be shared in the event they are relevant based on suspected exposure date, and only for appropriate follow-up by the health department.
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