Client Health + COVID consent/screening

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Please fill out this Client Health + Preferences form at least 24 hours before your first appointment, or if it's been over six months since the last time you filled one out for me. The following information will be used to help plan safe and effective sessions. It will be kept confidential, unless a separate release form is signed.

If you are exhibiting any flu-like symptoms before, or on the day of, your appointment, please cancel your appointment as soon as possible. My normal cancellation policy covers cancellations for illness with no penalty. Thank you.

I am working hard to keep my business safe for every client, those who are immune-compromised, and myself.

Christina Aumann, CMT, CRH | Banyan Bodywork
P.O. Box 51086, Pasadena, CA 91115-5086
626.921.6786
banyanbodywork.com
christina@banyanbodywork.com

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