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COVID-19 Safety Agreement
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Have you read and agreed to adhere I Heart Rolfing's new safety policies? (If not, please do so before proceeding)
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No
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Do you agree to cancel and delay your appointments for 2 weeks if you show any signs or symptoms of cold or flu, or have been exposed to anyone showing signs of cold or flu. This includes a mild cough or low-grade fever.
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No
Required
Do you agree to delay your appointments for 2 weeks if you have traveled by mass-transit, nationally, internationally, or locally, or attended a crowded public event.
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No
Required
Do you agree to inform your Rolfer if you have been in contact with any sick persons within the last 2 weeks.
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Yes
No
Required
Do you agree to inform your Rolfer if you expect to be in contact with high-risk populations (elderly, immunocompromised, underlying health conditions) following your appointment?
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No
Required
Do you agree to wash your hands upon arrival at our office?
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Yes
No
Required
Do you agree to candidly express your health concerns, including anxiety, fear, or panic regarding COVID-19, and any concerns about your personal health?
Yes
No
Please share any feedback, questions or concerns you have about the COVID-19 pandemic and our response to it. We would love to know if our policies feel like they adequately meet the current health crisis.
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