
About Bowenwork

About Bowenwork

Bowenwork in Ann Arbor, Michigan

Ann Arbor, MI | wendy@everybodyheals.life
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Note: This form will need to be completed online within 24 hours prior to each session. You'll receive a link to it the day before your session. Thank you for working with me on this! It'll go fast.
Pre-Session Health Check-In
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To best protect your health and the health of others, please fill out this form before each session. Thank you!
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Have you been tested for COVID-19? If yes, what type of test did you have? Date? Results?
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Have you been exposed to COVID-19 or been providing care for someone experiencing COVID-like symptoms?
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Have you traveled outside of Southeast Michigan or been in places with a high infection rate within the last two weeks? If yes, please describe.
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Have you been asked to self-isolate or quarantine by a doctor or a local public health official in the last 14 days?
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Are you using an anti-coagulant to treat complications related to COVID?
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Can you exercise to get your heart rate and respiratory rate up without any problem or discomfort?
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Have you had a new onset of muscle aches and pain since the emergence of the virus?
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Have you seen any new marks, rashes, spots, bumps or other lesions on your skin?
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Please check if you are experiencing any of the following as a NEW PATTERN since the beginning of the pandemic.
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Fever
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Chills
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Cough
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Sore throat
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Diarrhea, digestive upset
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Nasal, sinus congestion
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Loss of sense of taste or smell
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Fatigue
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Shortness of breath
I understand that close contact with people increases the risk of infection from COVID-19. By signing this form, I acknowledge that I am aware of the risks involved and give consent to receive bodywork from this practitioner.
I understand that my name and contact information might be shared with the state health department in the event that a client or practitioner at this location tests positive for COVID-19. Only my contact details will be shared in the event they are relevant based on suspected exposure date, and only for appropriate follow-up by the health department
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TO BE COMPLETED IN-OFFICE
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_____ Nothing on this form has changed since my intake call yesterday.
_____ I have made changes where needed.
I state that the information provided above is true and accurate to the best of my knowledge.
______________________________________________ (signature – parent/guardian if minor)