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 physical distancing of 6 feet may not be possible while in the salon receiving services. I understand that I must sanitize my hands before entering Touch of Ayurveda and I must wear a mask that covers my mouth and nose while in common areas. Hard surfaces such as door handles and countertops will be wiped after each client.
I confirm that I am not currently positive for novel coronavirus. I confirm that I am not waiting for the results of a laboratory test for the novel coronavirus. I verify that I have not returned to California from any country outside of the US, whether by car, air, bus or train in the past 14 days. I verify that I have not been identified as a contact of someone who has tested positive for the novel coronavirus or been asked to self-isolate by The Los Angeles Department of Health, or any other government agency. I confirm that I am not presenting with any of the following symptoms of COVID-19 indentified by the CDC: Fever over 38C, or 100F, chills or body aches, cough, sore throat, shortness of breath, difficulty breathing, Flu-like symptoms such as runny nose and loss of smell or taste.
I understand that for the safety of everyone, my temperature will be check before the services are started. I understand that I may be unable to proceed with services at Touch of Ayurveda if I am deemed unsafe to myself or a staff member.
I understand I may NOT bring children or anyone else who does not have an appointment into the salon. I understand that Touch of Ayurveda will do everything possible to minimize the spread of COVID – 19, but will not hold them responsible should I contract the COVID – 19. I will immediately notify Touch of Ayurveda if I contract the virus within two weeks following my visit. I verify that the information I have provided on this form is truthful and accurate.