COVID Form

  • Fever | Fatigue Dry cough | Difficulty breathing | Chills Nausea or vomiting |Diarrhea | Confusion
  • Finally, I understand that most of the services provided by Internal Beauty Med Spa involve close physical proximity over an extended period of time, there may be an elevated risk of disease transmission, including COVID-19. By signing this form I acknowledge that I am aware of the risks involved and give consent to receive my chosen service from my practitioner at Internal Beauty Med Spa.

    By signing my name below I agree to each of the above statements and release the practitioner and Internal Beauty Med Spa from any and all liability for the unintentional exposure or harm due to COVID-19.

    Your practitioner agrees that they will abide by these same standards and affirms the same. We also affirm that we have improved and expanded our sanitation and hygiene protocols to more thoroughly fight the spread of COVID-19 and other communicable conditions.

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