COVID-19 Pre-Screening

    Please complete this form on the day of your appointment. If you don't fill it out online there will be paper forms available in the studio.

    I am not experiencing any of these symptoms: 
    - Fever
    - Shortness of breath 
    - Difficulty breathing
    - Chills
    - Unexplained fatigue
    - Cough
    - Sore throat or difficulty swallowing
    - Loss of sense of taste or smell

    I have not/am not:
    - Tested positive for Covid-19 (or are awaiting Covid-19 test results)
    - Knowingly been exposed to someone with a confirmed or suspected case of Covid-19
    - Recently travelled to an area with a high infection rate
    ​If you are unwell please stay home & self-isolate right away. Call Telehealth or your health care provider, to find out if you need a test.