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COVID-19 Release Form

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    ​COVID-19 Protecting Each Other
    Our priority is the health and safety of our patients. To reduce the potential risk of exposure to and transmission of Coronavirus (COVID-19), we are requiring completion of a simple screening questionnaire for all visitors to our office. 
    We also ask that you adhere to all COVID-19 related preventative measures in effect at our office. Thank you for your support in these measures to protect yourself and the community at large.

    Face covering is required during the appointment time.

    Certification
    ​I hereby confirm that my responses are true and correct. By Completing and signing this form, I confirm to Tangible Acupuncture & Integrative Medicine that my presence at my address will not knowingly put anyone at risk of exposure to COVID-19.
    I further recognize that the World Health Organization has declared a COVID-19 pandemic and that a national emergency has been declared related to the pandemic. I recognize, acknowledge, and accept the health risks of entering Tangible Acupuncture & Integrative Medicine offices.
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Copyright © 2014 | 2943 Broadway St, Redwood City CA, 94062 | 650 503-6362    
  • Home
  • Treated Conditions
  • Services
    • Acupuncture
    • Herbal Formulas
    • Orthomolecular Medicine
    • Bio Electro Magnetic Energy
    • Medical Qigong
    • Lifestyle Coaching
    • Other Modalities
  • Supplements
  • About
  • Blog
  • Contact
  • Schedule Online