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Covid-19 Health Declaration

How are you feeling today?

Thanks for submitting!


                  Please print a copy of this page and bring it with you!   Thank you

I agree to the following: 

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


*  All household members, have not been diagnosed or have been exposed with COVID-19 within the past 30 days.  

*  I understand that Divine Harmony Healing and G Fontana Salon Studio cannot be held liable for any exposure to the 

     COVID-19 virus as I have decided to come here on my own free will and will not hold them responsible should I contract COVID-19.

    I understand that:

*  Physical distancing of 6 ft. is not possible while receiving energy healing services.

*  A mask must be worn while laying face up during treatment and when entering and leaving the treatment room.

*  Hands must be washed and sanitized my hands before entering the treatment Room. 
*  In the event of coughing or sneezing hand must be immediately sanitized!
*  I may not bring children to your healing session.

*  Our establishment has and will continue to be sanitized and safe according to the CDC guidelines.

*  I understand that we will do everything possible to minimize the spread of COVID-19, by sanitizing the table and room and will be          wearing a mask during your treatment.  

      Signature________________________________________________                    Date__________________________________

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