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Informed Consent

informed_consent_covid_19.pdf
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Please Download, Print & Sign Consent Form To Bring In To Your Next Appointment At Holladay Spa.

 
I ​​​​​  understand that I am opting for a service that is not urgent and not medically necessary.  I also understand that the coronavirus disease (COVID-19) has been declared a worldwide pandemic by the World Health Organization.   I further understand COVID-19 is extremely contagious. State and federal health agencies recommend social distancing.  I recognize that the staff at ​​​​Holladay Spa are closely monitoring this situation and have put in place reasonable preventive measures targeted to reduce the spread of this virus.   However, given the nature of the virus, I understand there is an inherent risk of becoming infected with COVID-19 if I proceed with this elective service.  Accordingly I acknowledge and assume the risk of becoming infected with COVID-19, and any variation or mutation thereof, through this elective service and I give my express permission for the staff at ​​​​Holladay Spa to proceed with the same.   This consent applies to any follow up or additional services in the upcoming months.  I understand that even if I have been tested for COVID-19 and received a negative test result, the tests may not have detected the virus or I may have contracted COVID-19 after the test.    I will not hold this business and professional offering the service responsible for any liability related to COVID-19 and any variation or mutation thereof.  I have been given the option to defer my service to a later date.   However, I understand all the risks including those noted herein and I would like to proceed with this service.   I have been offered a copy of this consent form.  I understand the explanation and consent to the procedure.    




 
Client Signature:​​​​​​​​                                                          Date:​​​






Provider’s Signature:​​​​​​​​                                                   Date:​​

Book Your Appointment Today!


Hours

By appointment only

Telephone

Booking Inquires- 434-466-7541
Laura-                      434-284-3085
Brooke-                   434-409-8302
Petra-                       434-989-2973
​Mary-                       434-249-9649
​Ciera-                      434-249-1651

Email

hello@holladayspa.com
​laura@holladayspa.com
brookegildner@gmail.com
petraburgos18@gmail.com
marysoulia@gmail.com
Ciera.Kirby@yahoo.com
​
  • Home
  • Facial Membership
  • Gift Cards
  • Shop
  • Blog
  • Hair
  • Estheticians
  • Lash and Brow
  • Waxing
  • Facials
  • Tinting
  • Contact
  • About Us
  • Tour The Salon
  • Policies