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Health History Review and Consent Form

Due to COVID-19 we are taking extra precautions to protect your health and the health of our staff members with an intake for each client that includes an updated health history review. This intake will be performed each time you visit Firefly Wellness Day Spa, until further notice.

We require that you take your temperature at home before EACH VISIT to Firefly. If your temperature is 100.4 or higher please reschedule your appointment.


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By signing below I agree to each above statement and declare that the information provided is true and accurate to the best of my knowledge. I acknowledge and understand the risk of being exposed to COVID-19, and voluntarily agree to assume all risks involved when visiting Firefly Wellness Day Spa, releasing the business and its employees from any and all liability for the unintentional exposure or harm due to COVID-19.

This business and all employees of this facility agree that they abide by these same standards and affirm the same. We also affirm that we have improved and expanded our sanitation protocols to more thoroughly fight the spread of COVID-19 and other communicable conditions.

~ The Firefly Wellness Day Spa Team ~

December 2, 2020