COVID-19 Liability Release Form

Due to the outbreak of the novel Coronavirus, COVID-19 and any variants, we are taking extra precautions with the intake of each client. Please review, complete, and sign this form.

Symptoms of COVID-19 include:

• Fever, fatigue, dry cough, difficulty breathing or shortness of breath or other respiratory symptoms, chills, loss of taste and smell

By submitting this form, you agree to the release of liability-related information as stated below: