I further understand that I am opting for a service that is not urgent and not medically necessary and that the coronavirus (COVID-19) has been declared a worldwide pandemic by the World Health Organization. I further understand COVID-19 is extremely contagious. State and federal health agencies recommend social distancing.
I recognize that the staff at The Artistry LLC are closely monitoring this situation and have put in place guidelines and preventive measures targeted to reduce the spread of this virus. However, given the nature of the virus, I understand there is an inherent risk of becoming infected with COVID-19 if I proceed with the elected service.
Accordingly I acknowledge and assume the risk of becoming infected with COVID-19, and any variation or mutation thereof, through this elective service and I gave my express permission for the staff at The Artistry LLC to proceed with the same. This consent applies to any follow up or additional services in the upcoming months.
I understand that even if I have been tested for COVID-19 and received a negative test result, the tests may not have detected the virus or I may have contracted COVID-19 after the test. I will not hold The Artistry LLC and/or the technician offering the service responsible for any liability related to COVID-19 and any variation or mutation thereof.
I acknowledge all statements of those noted herein and I would like to proceed with my scheduled appointment. I have been offered a copy of this consent form.
DIGITAL FORM SUMISSION IS ACCEPTANCE OF TERMS OF SERVICE