top of page

Relax & Be Well, LLC COVID-19 (Coronavirus) Liability Release Form

Due to the 2019-2020 outbreak of the novel Coronavirus, COVID-19, I am taking extra precautions with the intake of each client, health history review, as well as cleaning and disinfection practices, per Centers for Disease Control and Prevention (CDC), Occupational Safety and Health Administration (OSHA) and Minnesota Department of Health (MDH) guidelines. Please complete the following and submit before every massage session until further notice.



Email Address*

Symptoms of COVID-19 (you may experience some or all of these)

Select an option

I agree to the following:*

bottom of page