COVID-19 Liability Release Waiver
Signature Required Prior to Every Scheduled Appointment
Due to the 2020 outbreak of the novel Coronavirus, (COVID -19), Clear Solutions Acne & Skin Care Clinic is taking extra precautions with the care of every client to include health history review and enhanced sanitation/disinfection procedures in accordance with the New York States guidelines.
Please complete the following and date and sign
Symptoms of COVID-19 can include:
• Dry cough
• Difficulty breathing
• Skin Rashes