COMPLETE THIS CHECKLIST BEFORE EACH SESSION
Before each session you attend in-person, please answer the following questions. If any of your responses to questions 1-2 below is YES, please reschedule your in-person appointment or change it to a remote session. Any late fees are waived if you need to shift an appointment due to illness.
1. In the last 5 days have you had any of the following signs or symptoms?
New onset of cough or worsening of chronic cough
Shortness of breath or difficulty breathing
Sore throat or difficulty swallowing
New muscle aches or headaches
2. Have you had any contact with anyone with an active case of COVID-19 (less than 5 days before symptom onset)?