YOUR FAMILY'S HEALTH IS IMPORTANT TO ME. THAT IS WHY I AM TAKING THE FOLLOWING PRECAUTIONS TO KEEP YOU SAFE DURING YOUR VISIT:
FOR HOME VISITS:
  • I change my clothes just prior to the appointment

  • I wear personal protective equipment, including but not limited to: an N95 mask, gloves, a face shield, and a gown

  • I ask that any adult present for the appointment also 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 change my clothes just prior to the start of the day

  • I wear personal protective equipment, including but not limited to: an N95 mask, a KN95 mask, gloves, a face shield, and a gown

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

  • I wash my hands with soap and water 

  • I wipe down my office space with medical grade, fragrance free sanitizing wipes at the start of the day, between appointments, and at the end of the day

  • 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 one hour apart to allow for adequate cleaning and in order to refresh the air in between cases

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

  • The waiting area is closed, so I ask that you please call when you arrive so that I can come out to get you

PERSONAL LIFE:
  • I have a pre-exisiting medical condition that makes me particularly high risk

  • I always wear a mask in public

  • I practice social distancing

  • I do not regularly attend any kind of social gatherings

  • I have four children in the public school systems hybrid model

  • Childcare during my working hours is provided by a nanny in my home

  • If I have an exposure I will self quarantine for 14 days

  • If I develop symptoms, I will seek testing and quarantine until symptoms resolve and/or I have a negative test result

  • If myself or a close family member is diagnosed with Covid 19, all clients whom I have had contact with in the 7-14 days prior will be notified

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, you have traveled, you have attended a gathering of any kind, or if you or a family member work in a high risk field, please tell me so that I can determine the safest type of appointment to schedule, and the right PPE for that appointment.
 
In a time where proper medical care can be so hard to obtain, know that I am not going to deny you care. But please be considerate of my health, of my family members health, and of the health of all of the families that I will see after you, as we work together to ensure the safest care possible. Thank 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

Have you or anybody in your household been diagnosed with Covid-19, been knowingly exposed to Covid-19, been tested for Covid-19, been asked to quarentine, traveled on a plane, bus or train, or attended a gathering unmasked and/or outside of your regular contacts 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?

© 2018, Nourish Holistic Lactation Support LLC. 

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