CONFIDENTIAL CLIENT COVID-19 PRE-SCREENING FORM
If you answered yes to any of these questions you are contraindicated to receive massage or manual osteopathic treatment. You must call to cancel your appointment and you may need to self-isolate. It is recommended that you immediately contact your local health authority and follow their instructions.
You have a responsibility to help prevent the spread of COVID-19. There are steps you can take to protect yourself and others.
In order to protect yourself, your therapist, and others, honest disclosure is essential.