YOUR FAMILY'S HEALTH IS IMPORTANT TO ME. THAT IS WHY I AM TAKING THE FOLLOWING PRECAUTIONS TO KEEP YOU SAFE DURING YOUR VISIT:
I have received the Moderna vaccination series for Covid 19
FOR HOME VISITS:

  • I wear situation specific personal protective equipment

  • I ask that any unvaccinated adult present for the appointment wear a mask

  • Only necessary items are brought into the home

  • All items are wiped down immediately upon entering the home

  • I then wash my hands with soap and water

  • I use disposable gloves for hands on assessments

  • I carry hand sanitizer to use during the appointment 

  • All items are wiped down at the end of the visit

  • I wash my hands again prior to leaving 

FOR OFFICE VISITS:

  • I wear a KN95 mask

  • My office requires any adult entering the building to wear a mask

  • I wipe down high contact common areas upon arrival to my office

  • I wipe down all clinical items with fragrance free sanitizing wipes before and after every appointment

  • Used linens are laundered in between clients

  • I wash my hands with soap and water

  • I use disposable gloves for hands on assessments

  • I run a HEPA air filter at all times in my office. HEPA air filters effectively remove virus molecules, including Covid 19, from the air

  • I run a non ozone producing UV sterilizer in between appointments. UV sterilization effectively kills virus molecules, including Covid 19, on both hard and soft surfaces

  • Appointments are spaced a minimum of one hour apart to allow for adequate cleaning and in order to refresh the air in between cases

  • The buildings waiting area is closed, so I ask that you please call *the number provided on your reminder email* when you arrive so that I can come out to get you

WHAT I AM ASKING OF YOU:
Please be honest with me. I am not going to refuse care if you have had a recent exposure, or even if you are Covid positive. I will, however, institute the safety measures that best suit the situation. If you or a family member have Covid 19 symptoms, please allow me to set up a virtual meeting rather than an in-person one. If you have had a recent exposure please tell me so that I can determine the safest type of appointment to schedule, and the right PPE for that appointment. I am not only trying to protect myself and my family, but also the families who I will see after you.
 
SCREENING TOOL REQUIRED FOR CLIENTS:
TO BE COMPLETED WITHIN 24 HOURS PRIOR TO SCHEDULED CONSULT

Medical Questionnaire

Please fill out the following form completely and honestly. I will not cancel your appointment. This form allows me to determine the safest PPE to use!

Have you or anybody in your household been diagnosed with Covid-19, been knowingly exposed to Covid-19, been tested for Covid-19, or been asked to quarantine in the past 14 days?
Do you or anybody in your holusehold currently have a fever, chills, cough, shortness of breath, sinus conjestion, sore throat, unexplained fatigue, headache, loss of taste or smell, body aches, nausea, vomiting, or diarrhea?

Thanks for submitting!

Last updated May 30, 2021