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.

"*" indicates required fields

Health Screening

Name*

First Last

Are you experiencing any of the following:*

Severe difficulty breathing (e.g. struggling to breathe or speaking in single words)

Severe chest pain

Having a very hard time waking up

Feeling confused

Losing consciousness

None of the above

Are you experiencing any of the following:*

Mild to moderate shortness of breath

Inability to lie down because of difficulty breathing

Chronic health conditions that you are having difficulty managing because of difficulty breathing

None of the above

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

Yes

No

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

I confirm that the information above is accurate.

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ABOUT
MEDIA
POLICIES
FACIAL PACKAGES & LOYALTYPERKS

1268 Pacific Blvd. Vancouver, B.C. V6Z 2V1

We are located on the second floor of Varnish. Please note that our building is not equipped with an elevator or a stair lift.

Phone: 778.228.4275

Hours (by appointment only):

10-7 Tuesday to Friday
10-6 Saturday
11-5 Sunday
Closed Monday

PARKING

There is ample street parking available on both side of Pacific Blvd as well as our cross streeets (Davie and Drake). Sometimes free parking can be found (if you’re lucky) in front of Elsie Roy Elementary School after 5 p.m. on school days.

We acknowledge that our business operates on the unceded territory of the Coast Salish peoples, including the xwməθkwəy̓əm (Musqueam), Skwxwú7mesh (Squamish), and Tsleil-Waututh Nations. We are grateful for the opportunity to work on this land and we commit to fostering respect, understanding, and collaboration with the Indigenous peoples of this region.

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