COVID-19 liability WAIVER – applicable only if you are attending your appointment at Shamarie’s Clinic
I understand the above symptoms and affirm that I, as well as all household members, do not currently have, nor have experienced the symptoms listed above within the last 14 days.
I affirm that I, as well as all household members, have not been diagnosed with COVID-19 within the past 30 days.
I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID-19 within the past 30 days.
I affirm that I, as well as all household members, have not travelled outside of the Australia or to any city considered to be a “hot spot” for COVID-19 infections within the past 30-days.
I understand that Shamarie’s Body & Mind Therapies cannot be held liable for any exposure to the COVID-19 virus caused by misinformation on this form or the health history provided by each client.
COPY WRITE & DISCLAIMER
No part of this website may be duplicated with out the express written permission of Shamarie Flavel. The material contained within Shamarie Flavel’s website is for your information and education purposes only and should not be taken as advice. Likewise no content contained within Shamarie Flavel’s website is intended to medically diagnose or imply a cure.
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