Due to the pandemic outbreak of Corona Virus (COVID-19), we at L. MOORE AESTHETICS are taking extra precautions with the intake of each client, the health history of both clients and staff as well as our sanitation practices and protocols.

In order to receive your treatment, please read and sign below. Thank You.

Your Information

I understand that the common symptoms of COVID-19 include, but are not limited to the following:

Dry Cough
Tiredness/Fatigue
Fever
Shortness of Breath
Sore Throat
Body Aches/Pains
Headache

Release Terms

I can attest to the following:

Please read and check.

I affirm that I, as well as my household members and those I have come in close contact with these past 14 days have not been diagnosed with COVID-19 within the past 30 days.
I understand the above symptoms and attest that myself, as well as my household members and those I have come in close contact with these past 14 days do not have nor have experienced the symptoms listed in the past 14 days.
I affirm that I, as well as my household members and those I have come in close contact with these past 14 days have not traveled outside of the country or to any city outside of ours that is considered a hot spot for Covid-19 infections these past 30 days.
I understand that this business and my aesthetician cannot be held liable for any exposure to the virus or any other contagion cause by misinformation on this form of the health history provided by each client. Furthermore, I agree to not hold LS Moore, LLC dba L. MOORE AESTHETICS, Laurie Smith Moore, Aesthetician and Owner or its associates if I do contract COVID-19 or any other contagion as I have chosen to come here on my own free will.
I understand that by providing any false information on this document will result in my treatment being immediately cancelled and the full appointment fee will be charged.

By signing below, I agree to each statement above and release LS MOORE, LLC dba L. MOORE AESTHETICS and Laurie Smith Moore from any and all liability for the unintentional exposure of harm due to COVID-19.

To accept this contract, type your name below

PLEASE KNOW: Your aesthetician and all employees of this facility agree that they above by these same standards and affirm the same. We also affirm that we have improved upon and expanded our sanitation protocols to more thoroughly fight the spread of COVID-19 and other communicable conditions.

L. MOORE AESTHETICS COVID-19 LIABILITY RELEASE

THANK YOU!