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COVID-19 Continuation of Services Waiver

 

Feel free to print and sign the waiver and send a picture to melanie@connectplustherapy.com

or sign the digital form signature below

 

COVID-19 Continuation of Services Waiver

This document outlines the requirements to remain eligible for services from Connect Plus Therapy during the COVID-19 pandemic and outlines the potential risks to continuing services.
  • Date Format: MM slash DD slash YYYY
  • By signing this agreement, you acknowledge that you will hold harmless, Connect Plus Therapy and all associated personnel for any and all harm that may come from continuing services during the COVID-19 pandemic.