PHOTOFACIAL - IPL
RF SKIN TIGHTENING
LASER HAIR REMOVAL
Confirm that the following statements are factual:
I have not had in the last 14 days any of the following symptoms: high temperature, fever or chills, difficulty breathing or shortness of breath, sore throat, trouble swallowing, cough, runny nose/stuffy nose or nasal congestion, decrease or loss of smell or taste, nausea, vomiting, diarrhea, abdominal pain, not feeling well, extreme tiredness, sore muscles
There is no one in my household exhibiting the above symptoms.
To the best of my knowledge, I have not been in contact with someone with a confirmed or probable case of COVID-19.
I have not, nor has any member of my household travelled outside of Canada in the last 14 days.
I certify that the answers above are true as of the completion of this form.
Thanks for submitting!