Crystal McLain Creative, LLC Policies, Procedures, & COVID-19 Liability Waiver

Crystal McLain Creative, LLC Policies, Procedures, & COVID-19 Liability Waiver

Please read carefully, and complete this waiver before receiving services from Crystal McLain Creative, LLC. This Waiver MUST be submitted in order to receive services.
Date *

Month Day Year
Date
Name *

First Name Last Name
- Please arrive to your appointment on time, wearing your mask. Please remove your shoes after entry.
- Use hand sanitizer upon arrival and after your session.
- To value everyone's time, and to keep with the schedule, please keep conversations brief before and after our session. I'm happy to discuss your needs further during the session.
- Schedule appointments by phone or email. (207) 832-1013 or crystalmclainlmt@live.com
- Either pre-pay online with PayPal , or bring correct change or pre-written check written to Crystal McLain to your appointment. One hour sessions are $75.
- If you must cancel your appointment, please give at least 24 hours notice. Late cancellations or 'no-shows' will be charged for the full session.
- If you are late to your appointment, I am only able to offer you the remainder of the scheduled time, and full payment is expected.
- If I have to cancel your appointment last minute, your next session is free of charge.
- The safety and confidence of my clients, and myself, are my top priority. Any action that is perceived as threatening will not be tolerated.
- I will not perform any services that are out of my scope of practice.
- I will do my best to offer a nurturing and therapeutic enviornment where you feel safe to relax and express your wellness goals. Communication is always welcome and encouraged.
COVID-19 LIABILITY WAIVER:

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.

I further acknowledge that Crystal McLain Creative, LLC has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.

I further acknowledge that Crystal McLain Creative, LLC does 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, David Presutte (onsite resident), and other clients and their families.

I voluntarily seek services provided by Crystal McLain Creative, LLC 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 BEFORE ENTERING THE OFFICE: *

I am not experiencing any symptoms 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 tase or smell. * I have not traveled internationally within the last 14 days. * I do not believe I have had 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 and not yet cleared as non contagious by state or local public health authorities. * I am following CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.
I understand and agree to comply with these policies and procedures. *

I agree
I hereby release and agree to hold Crystal McLain Creative, LLC 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 Massage Practice of Crystal McLain Creative, LLC, or that may otherwise arise in any way in connection with any services received from Crystal McLain Creative, LLC. I understand that this release discharges Crystal McLain Creative, LLC from any liability or claim that I, my heirs, or any personal representatives may have against the Massage Practice of Crystal McLain Creative, LLC with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Crystal McLain Creative, LLC. This liability waiver and release extends to the Massage Practice together with David Presutte.
Name *

First Name Last Name
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
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