COVID 19 WAIVER & Policies

COVID- 19 Information & Liability Waiver

* Indicates required field

CLIENT Name *

First

Last

DATE *

HAVE YOU HAD A FEVER IN THE LAST 24 HOURS OF 100F OR ABOVE? *

YES NO

DO YOU NOW, OR HAVE YOU RECENTLY HAD, ANY RESPIRATORY OR FLU SYMPTOMS, SORE THROAT, OR SHORTNESS OF BREATH? *

YES NO

Have you been in contact with anyone in the last 14 days who has been diagnosed with COVID-19 or has coronavirus- type symptoms? *

YES NO

COVID-19 is a highly contagious virus that spreads from person to person. In addition to long-held and explicit sanitation measures this business has always adhered to, new preventative measures have been put in place to further reduce the spread of this novel coronavirus. However, these best practices still offer no guarantee regarding your potential risk of being infected.

Consent for Treatment
I understand that, because esthetics involves maintained touch and close physical proximity over an extended period of time, there may be an elevated risk of disease transmission, including COVID-19. By signing this form, I acknowledge that I am aware of the risks involved from receiving treatment at this time, I voluntarily agree to assume those risks, and I release and hold harmless the practitioner/business from any claims related thereto. I give my consent to receive treatment from this practitioner.

CLIENT SIGNATURE *

DATE *

Submit

NEW POLICIES

MASKS:
I will be wearing a mask throughout your entire visit and it will also be required of you to do so per CDC guidelines.
Any mask, or facial covering will suffice.

COVID-19 WAIVER:
Before each visit you will need to electronically complete and sign the COVID-19 waiver.
This will help ensure that all clients visiting The Prickly Pear are healthy and without fever or recent COVID-19 exposure.

CONTACTLESS PAYMENT:
Due to COVID-19 I am highly encouraging contactless payments at this time. This can be done through VENMO, Zelle, or by check. If you wish to pay by cash I ask that you please bring exact change to help limit contact.
Payment by card will still be accepted.

CANCELATION POLICY:
Due to the high demand in appointment availability, cancellations made less than 24 hours before your appointment may result in a charge of 50% of the scheduled services.
No-show appointments will be charged the full amount of the services scheduled.

COVID- 19 Information & Liability Waiver

NEW POLICIES

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