Best Practices COVID-19

You will receive an emailed questionnaire prior to the session. Please read it thoroughly as some answers may require you to get a doctor's release to receive a massage.
Text me upon arrival and wait in the car until texted to come to the door.
When the room is ready, I will meet you at the door.
Once inside, wash your hands, then come into the massage room.
Your temperature is taken with a no-touch thermometer.
Oximeter levels are then checked - individuals with oxygen levels of 88 or below indicate compromise and will not be seen.
Masks are required throughout the session.

I realize these steps are cumbersome, however, your safety and mine are important.

This form must be completed prior to each session.

How are you feeling today?

First Name

Last Name

My body temperature is 98.6° or lower

I am not experiencing the symptoms: fever, cough, sore throat

I have not been in close contact with anyone diagnosed with Covid-19 or has coronavirus-type symptoms in the last 14 days

I have not traveled or had guests from out of town in the last 14 days

Do you have heart disease, lung disease, kidney disease or diabetes?

Yes

If you selected YES, check with your doctor if massage is reommended for you. A doctor's note is required to proceed.

Do you have a history of blood clots?

Yes

If you selected YES, check with your doctor if massage is reommended for you. A doctor's note is required to proceed.

Do you have an oxygen level of 89 or below?

Yes

Massage therapy is contraindicated when oxygen level is below 89.

COVID-19 Release and Hold Harmless Agreement

I agree

Signature

Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

Live Your Health Inside & Out, LLC

MA44870 MM38653