COVID

FOR YOUR SAFETY

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Due to the 2019-2021 outbreak of the novel coronavirus, COVID-19, we are taking extra precautions with the intake of each client, health history reviews, as well as sanitation and disinfecting practices. Please complete the form below.

PRECAUTIONARY CORONAVIRUS LIABILITY RELEASE FORM

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Symptoms of COVID-19 include:
  • High Temperature / Fever
  • Fatigue
  • New continuous dry cough
  • Difficulty breathing
  • Loss or change to your sense of smell or taste
 If you currently have symptoms of COVID-19 but have not yet used the NHS 111 online coronavirus service, please do
so. If you have any other new or unusual symptoms, please discuss these with your therapist before your appointment

PRECAUTIONARY CORONAVIRUS LIABILITY RELEASE FORM

I,

 agree to the following:  

Please defer your treatment if you: are waiting for a COVID-19 test result; have recently tested positive for COVID-19; or have a high temperature, new continuous cough, or a loss or change to your sense of smell or taste. If you currently have symptoms of COVID-19 but have not yet used the NHS 111 online coronavirus service, please do so. If you have any other new or unusual symptoms, please discuss these with your therapist before your appointment  

If you have had COVID-19, please seek consent from your GP or consultant before treatment.  

If you are classed as clinically extremely vulnerable and require shielding, you will have received a letter from the NHS explaining this. Defer treatments until the government indicates that it is safe for you to leave home or have visitors providing non-essential care.

Unlike people at high risk, those who are classed as clinically vulnerable will not have received a letter from the NHS. If you are unsure if you are clinically vulnerable, please refer to the NHS website at   www.nhs.uk  .   If you meet the definition of someone who is clinically vulnerable, please discuss this further with your therapist and seek consent from your GP, midwife or consultant before having a treatment.


Please check your temperature on the morning of your treatment. If it is higher than usual, or if you have any other symptoms, please contact your therapist to defer your treatment. Please ensure that you follow all new procedures explained to you by your therapist, prior to treatment.


Your therapist has carried out a full risk assessment and adheres to COVID-19 guidelines produced by the government and their professional association, the Federation of Holistic Therapists (FHT). For more information, visit fht.org.uk/coronavirus    


By signing below, I agree to each above statement and release the massage therapist and business from any and all liability for the unintentional exposure or harm due to COVID-19.   

Your massage therapist from Fylde Holistic Therapies has agreed to abide by these same standards and affirm the same. We also affirm that we have improved and expanded our sanitation protocols to fight the spread of COVID-19 and other communicable conditions more thoroughly.