Health Screening

We appreciate your time in answering these health screening questions; it helps us to maintain our health and the health of other patrons.

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Health Screening

Name*
Are you experiencing any of the following:*
Are you experiencing any of the following:*
Are you experiencing cold, flu or COVID-19-like symptoms, even mild ones? (NOTE: please do not indicate yes to symptoms you are confident are due to seasonal allergies.) Symptoms include:*
fever, chills, cough, shortness of breath, sore throat and painful swallowing, stuffy or runny nose, loss of sense of smell, headache, muscle aches, fatigue or loss of appetite

If you have indicated that you are experiencing any of the above symptoms, please contact us with as much notice as possible to reschedule your appointment. 778.228.4275 | info@collectiveskincare.com