• Consent for hair services during COVID-19 Pandemic

    LanieMax Hair Design
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  • I understand that the novel coronavirus causes the disease known as COVID-19. I understand the novel coronavirus has a long incubation period during which the carriers of the virus may not show not show the symptoms and may still be contagious.
     
    I understand that :

    1. physical distancing of 6 feet  may not be possible while receiving services.
    2. I must sanitise my hands before entering the area where work will be preformed.
    3. I MUST WEAR A MASK AT ALL TIMES .
    4. I will minimise the touching of common surface/areas
    5. I may be unable to proceed with services with LanieMax Hair Design if they are deemed unsafe to myself or a staff member
    6. I may NOT bring children or anyone else who does not have an appointment .
    7. I understand the staff of LanieMax Hair Design will do everything possible to minimise the spread of COVID-19, but will not hold them responsible should I contract COVID-19.

    I confirm that:

    1. I am not currently positive for COVID-19
    2. I am not waiting for the results of a laboratory test for COVID-19
    3. I have not returned to Queensland from any other State or Country, whether by car, air, sea, bus or train in the past 14 days
    4. I have not been identified as a contact of someone who has test positive for COVID-19 or been asked to self-isolate by any government agency.
    5. I am not in high risk category for increased illness or death from COVID-19, including : diabetes, cardiovascular disease, hypertension, lung disease including moderate to severe asthma, being immunocompromised (including transplant recipient), having active malignancy or over the age of 65.
    6. I am NOT presenting with any of the following symptoms of COVID-19:
    - Fever > 38C, or 100F, chills or body aches
    - Cough
    - Sore Throat
    - Shortness of breath / Difficulty breathing
    - Flu-like symptoms
    - Runny Nose
    - Loss of smell or taste

     

    I will immediately notify LanieMax Hair Design  if I contract the virus within two weeks following my visit.
     
    By signing below, I verify that the information I have provided on this form is truthful and accurate.

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