THESE MUST BE ANSWERED : YES= POSITIVE
INFORMATION TO CLIENTS FOR MASSAGE
There are new policies in place since the Covid 19 and we all have to take precautions to ensure each other’s safety set up by the Ministry of Health
Please read the pre-screening questions and return them back to me by 7pm the day prior to your appointment or I won’t be able to massage you.
Please do not come any earlier than 10 minutes. ( due to cleaning procedures )
You will be asked to wait in your car until you are notified to come in-
You must be wearing your mask when you come inside; if you don’t have on I can provide you with one for a charge
Upon arriving you will be asked the Ministry of Health Covid 19 Screening Questions
COVID-19 Screening Results
If response to ALL of the screening questions is NO: COVID Screen Negative
If response to ANY of the screening questions is YES: COVID Screen Positive
You will be asked to sign a covid consent form each time you come as well. This is not an app.
You will be asked to give consent for tracing as well. This is for everyone’s safety should someone have this virus, one will be informed by the Public Health Dept and only them.
You will then be asked to wash your hands.
After the massage you will be asked to wash your hands again.
COVID SCREENING QUESTIONS BELOW MUST BE ANSWERED by 7pm the day prior to your appointment
Ministry of Health COVID-19 Patient Screening Guidance Document- June 2020
Q1: Did the person travel outside of Canada in the past 14 days?
Q2: Has the person tested positive for COVID-19 or had close contact with a confirmed case of COVID-19 without wearing appropriate PPE? Q4: Does the person have any of the following symptoms?
Q3: Does the person have any of the following symptoms?
• Fever
• New onset of cough
• Worsening chronic cough
• Shortness of breath
• Difficulty breathing
• Sore throat
• Difficulty swallowing
• Decrease of loss of sense of taste or smell
• Chills
• Headaches
• Unexplained fatigue/malaise/muscle aches (myalgias)
• Nausea/vomiting, diarrhea, abdominal pain •
Pink eye (conjunctivitis)
• Runny nose or nasal congestion without other known cause
Q4: If the person is 70 years of age or older, are they experiencing any of the following symptoms?
• Delirium
• Unexplained or increased number of falls
• Acute functional decline
• Worsening of chronic conditions
NOTE:
If you respond with “yes” to any of the above questions, please delay or cancel your
appointment AND contact your medical provider, local covid-19 assessment centre, or
Telehealth Ontario (1-866-797-0000) for further testing and care.
Thanks for completing the screening questionnaire and continuing to take care of the
health of ourselves and others.
