ACS Beauty Studio & MediSpa is committed to your well-being, the well-being of our employees and our community. Due the pandemic of coronavirus illness COVID-19, we have implemented additional standards in attempt to stop the spread of the virus and we follow or exceed sanitation/disinfection guidelines issued by Ontario Health Canada.
FOR YOUR VISIT TODAY -------------------------------------- (date), YOU ACKNOWLEDGE AND AGREE TO THE FOLLOWING:
I UNDERSTAND THAT HEALTH CANADA HAS PUBLISHED THE FOLLOWING AS SYMPTHOMS OF COVID-19**:
Fever*, cough, shortness of breath or difficulty breathing, chills, repeating shaking with chills, sore throat, new loss of taste or smell.
THE FOLLOWING STATEMENTS ARE TRUE FOR ME AND ALL THE HOUSEHOLD MEMEBERS:
*We are not currently experiencing any of the above symptoms.
*We have not been diagnosed with COVID-19 in the past 30 days.
*We have not knowingly been exposed to anyone with COVID-19 within the past 14 days.
*We have not traveled outside of the province or country or to/from any COVID-19 “hot spots” within the past 14 days.
I ALSO ACKNOWLEDGE THE FOLLOWING:
*A person can unintentionally spread COVID-19 to others even if they don’t feel sick or have symptoms.
*Masks are meant to reduce the possibility of spreading the virus when infection is known or unknown, they don’t block the virus.
*I understand and acknowledge that my medical aesthetician, the staff, the business cannot completely control the spread of COVID-19 and I have chosen to enter this business and consent to receive close contact service(s) with full knowledge of the risk of contracting COVID-19 with social distancing is not observed.
Because we are all in this together, all the staff at ACS Beauty Studio & MediSpa are committed to follow up all the same standards and statements daily required by Ontario Health Canada.
By signing below, I agree not to hold my medical aesthetician, the staff or the owner of this business liable for any exposure to COVID-19 while at this location.
Client Signature: ------------------------------------------------
Client Printed Name: -----------------------------------------------
We reserve the right to confirm temperature reading ** If I’m exhibiting any of these symptoms, I acknowledge that my appointment will be cancelled.