Due to the current COVID‐19 outbreak and in an attempt to protect the safety and minimize the risk of potential exposure to our staff, students and clients, additional steps are being taken as it relates to visitors. Please read and acknowledge, via signature, the statement and information below.

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If yes, you can provide us a copy of your vaccination record, to allow us to document your file for future appointments. Thank you
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 Sore throat  Hoarse Voice  Difficulty swallowing  Decrease or loss of sense of taste/smell  Chills  Headaches  Unexplained fatigue/malaise  Diarrhea  Abdominal pain  Nausea/vomiting  Pink eye (conjunctivitis)  Runny nose/sneezing without other known cause  Nasal congestion without other known cause
NOTE - If you pass the screening you will be provided a mask if you do not have one that you must wear while at the Clinic and in the building. Should you have a fever or present any symptoms marked above, your appointment will need to be rescheduled until you am safely outside of the stipulated parameters and/or you are no longer experiencing any symptoms of illness.
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