Covid-19 Forms

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HOME
Contact Us
GiftCards
SHOP HAIRCARE
- Moroccan Oil
- Pureology
- MonPlatin
- Goldwell
- KMS
- WOW
- Olaplex
- Root Touch Up Products
- MISC Haircare
- Tools
SHOP SPA PRODUCTS
Salon Services
Spa Services
Injectables
HDI Microblading /Semi Permanent Tattoo
Clinical Facial Treatments
Makeup Services
Human Hair Extensions
Meet The Talent
Packages
Bridal Services
Promotions
FAQ

COVID-19 SCREENING FORMS

* Indicates required field

Date: *

Time *

Name *

First

Last

Phone Number *

Email *

Do you Currently Have a Fever? *

Yes No

Do you Currently Have a Sore Throat? *

Yes No

Do you Currently Have a Cough? *

Yes No

Do you Currently Experiencing Shortness of Breath? *

Yes No

Do you Currently Have a Runny Nose? *

Yes No

Do you Currently Feel Unwell? *

Yes No

Have you been in close contact with someone who is sick or has confirmed COVID-19 in the past 14 days? *

Yes No

Have you returned from travel outside Canada in the past 14 days? *

Yes No

***If you have answered YES to any of these questions, DO NOT COME IN FOR YOUR APPOINTMENT, go home and self-isolate right away. Call Telehealth or your health care provider.*** *

Submit

HOME
Contact Us
GiftCards
SHOP HAIRCARE
- Moroccan Oil
- Pureology
- MonPlatin
- Goldwell
- KMS
- WOW
- Olaplex
- Root Touch Up Products
- MISC Haircare
- Tools
SHOP SPA PRODUCTS
Salon Services
Spa Services
Injectables
HDI Microblading /Semi Permanent Tattoo
Clinical Facial Treatments
Makeup Services
Human Hair Extensions
Meet The Talent
Packages
Bridal Services
Promotions
FAQ

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COVID-19 SCREENING FORMS

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