PRE-SESSION CHECKLIST

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?

  • Fever

  • Chills

  • 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)?