Enhanced Health Acknowledgment

Research findings continue to evolve on how SARS-CoV-2 is spread. Currently it's generally agreed that it's transmittable through the inhalation of droplets from a person who is infected. 
There is a risk of transmitting or contracting the virus with any close, sustained contact with another person. 

Massage Therapy is a calculated risk for both the LMT and the client.

 

We strive to provide as safe an environment as possible and have expanded our protocols to minimize the spread of the virus to the best of our ability. You can learn more about our processes here: https://www.liveoakmassage.net/sanitation-processes

A few requests/notes:

  • Please text me if you wish to wait in the car or on the patio and I'll be happy to let you know when your room is ready

  • We are required to have clients wear masks, please bring yours; you can remove it / push it down when you're face-down during your session

  • Please use hand sanitizer immediately upon entering and keep 6 feet away from others in all common areas of the practice

  • Contactless payment options available

Please enter your name and click the "Submit to Carrie Pullen LMT" button below to acknowledge you've read the following.

Information provided is for Carrie's use only and will not be shared.

Due to the 2019-2020 outbreak of the novel Coronavirus (COVID-19), we are taking extra precautions with the intake of each client, health history review, as well as sanitation and disinfecting practices.  Please read the following and acknowledge below.

Symptoms of COVID-19 include:

- Fever          

- Cough

- Chills    

- Shortness of breath 

- Difficulty breathing

- Repeated shaking with chills

- New loss of taste or smell    

- Muscle pain

- Headache

- Sore throat

I understand the above symptoms and affirm that I, as well as all household members do not currently have, nor have experienced the symptoms listed above within the last 14 days.

I affirm that I, as well as all household members:

  • have not been diagnosed with COVID-19 within the last 30 days

  • have not knowingly been exposed to anyone diagnosed with COVID-19 within the last 30 days

  • have not traveled outside of the country or to any city outside of our area that is or has been considered a "hot spot" for COVID-19 infections within the last 30 days

 

I understand that, because massage therapy work involves maintained touch and close physical proximity over an extended period of time, there may be an elevated risk of disease transmission, including COVID-19.
By signing this form, I acknowledge that I am aware of the risks involved from receiving treatment at this time, I voluntarily agree to assume those risks, and I release and hold harmless the practitioner/business from any claims related thereto. I give my consent to receive treatment from this practitioner.

I additionally affirm that ALL OF THE ABOVE will be true for each appointment going forward. 

Copyright Carrie Pullen LMT LLC. All Rights Reserved.  MA79211 ●  MM37043

  • Facebook - Grey Circle
  • Grey Instagram Icon
  • Pinterest - Grey Circle
  • LinkedIn - Grey Circle