COVID-19 Safety Plan

Due to COVID-19, I am taking extra precautions to protect all clients. My practices include:

  • Requiring every client to complete a health history review prior to an in-person session

  • Limiting the number of clients seen in the office to 3 clients per day

  • Requiring masks to be worn during therapy sessions

  • Completing routine sanitation and disinfection of the office and studio space

 

Prior to any in-person session, I ask all clients to review and sign the following:

  • I affirm that I, as well as household members, do not currently have, nor have experienced the COVID-19 symptoms listed below within the last 14 days.

    • Fever

    • Fatigue

    • Dry cough

    • Difficulty breathing 

  •  I affirm that I, as well as all household members, have not been diagnosed with COVID-19 within the last 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 last 30 days.

  • I affirm that I am taking precautionary measures to limit my exposure to others, including wearing a mask in public spaces

  • I understand that this business and my therapist cannot be held liable for any exposure to the virus or any other contagion caused by misinformation on this form or the health history provided by each client. 

 

Jackie Schuld ◦ Art Therapy ◦ Alive and Well at East Hive ◦ 326 S Wilmot Suite B230 Tucson, AZ 85711 ◦ jackieschuldart@gmail.com © 2020