Due to the Novel Coronavirus (COVID-19) pandemic, Skin Care By Jessica is taking extra precautions with the intake of each client for each new appointment, health history review, as well as improved and expanded sanitation and disinfecting practices. Please complete the following and sign below.
COVID-19 is a highly contagious virus that spreads from person- to- person contact and has been declared a worldwide pandemic by the World Health Organization. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing. In addition to long-held and explicit sanitation measures this business has always adhered to, new preventative measures have been put in place to further reduce the spread of the novel coronavirus. However, these best practices still offer no guarantee regarding your potential risk of being unintentionally exposed to or infected by COVID-19 or. For the safety of all clients who enter and staff of Skin Care By Jessica and to continue to remain open for business, a liability waiver will be completed by each client at every new appointment.
Common symptoms of COVID-19 may include (but not limited to):
Dry cough, Fatigue, Fever, Shortness of breath, Respiratory Issues, Sore throat, Body Aches, Headache, loss of taste/and or smell.
*I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing and wearing of face masks as much as possible. Facials at Skin Care By Jessica from staff are not conducted with 6 foot social distancing. In addition, clients/ patrons masks are removed at the start of each treatment.
*I further acknowledge that Skin Care By Jessica has put in place improved and expanded preventative measures to reduce the spread of the Coronavirus/COVID-19.
*I further acknowledge that Skin Care By Jessica can not guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, spa staff, and other spa clients and their families.
*I voluntarily seek services provided by Skin Care By Jessica and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my appointment.
I attest that:
* I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
* If I fall under the category of high risk or vulnerable groupings, and decide to receive a service at my own risk, I am solely responsible for that decision.
* I have not, nor have any household memebers traveled internationally within the last 14 days.
* I have not traveled to a highly impacted area within the United States of America in the last 14 days.
* I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.
* I have not been diagnosed with Coronavirus/Covid-19 or cleared as non- contagious by state or local public health authorities.
* I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.
*I understand that extended amount of mask wearing can cause reactions in the skin. Skin Care by Jessica is not held liable for any adverse reactions caused by the wearing of a mask after treatments and services are rendered. Please consider allowing a few hours mask-free after your appointment if possible.
I hereby release and agree to hold Skin Care By Jessica harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the spa, or that may otherwise arise in any way in connection with any services received from Skin Care By Jessica. I understand that this release discharges Skin Care By Jessica from any liability or claim that I, my heirs, or any personal representatives may have against the spa with respect to any bodily injury, illness, death, medical treatment, expense or property damage that may arise from, or in connection to, any services received from Skin Care By Jessica. This liability waiver and release extends to the spa together with all owners, partners, and employees.