I understand that while the therapist is following all of the health and safety guidelines outlined by their governing body, the College of Traditional Chinese Medicine Practitioners and Acupuncturists, and the Provincial Health Officer, and they are taking all reasonable precautions to clean and disinfect all surfaces within the treatment room, there are no guarantees that I may not come into contact with COVID-19.
I am aware that despite all reasonable measures to minimize risk including personal protective equipment (PPE), sanitizing protocols and physical distancing when possible, the risk of transmission and infection of diseases including COVID-19 can never be zero, and I wish to proceed with treatment.
I certify that I am aware I will be screened prior to each treatment regarding COVID-related symptom presentation, risk related to travel, and other COVID exposure risk as screening protocols evolve according to the Provincial Health Officer, and that I will answer honestly.
I consent to treatment and COVID screening questions prior to each appointment, and agree to wear a mask at my appointment.