Covid-19 Screening For Clients
Prior to your appointment with Rejuvenate Me we ask you to fill in the form below.
This form & its contents are used to collect information about yourself and about your current health status.
The entire document will be kept for at least 21 days & will be used to screen clients who may be suffering from any respiratory illness.
By checking the boxes, you are agreeing to providing information that is correct & true. You may be refused treatment at any point before or during any procedure at the discretion of the practitioner.