Wellness Screening Consent
To our Dudley Beauty College Staff, Students and Patrons: Thank you for your support and patience during our closure the past few months as a result of the COVID-19 pandemic. We are very much looking forward to resuming classes and services in the safest possible way for staff students and patrons. Part of our new safety protocol includes this Wellness Screening Consent that we require you to complete and return prior to entering for class and for every clinic service appointment.  Please call or email the school if you have any questions. We look forward to seeing you soon!


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Email Address *
Your Full Name *
Date Form Completed *
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In the last 14 days, have you  (or any member of the household) had any of the following? (Please select all that apply) *
Required
Have you, a family member, or any known close contact had any of the following to occur? (Please select all that apply) *
Required
If you, a family member, or close contact has been diagnosed with COVID-19, when did that occur?
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If the answer to any of these questions changes before entering the College, I agree to notify Dudley Beauty College Staff Member as soon as possible. *
Service Consent: Please be assured that our College has always met or exceeded the requirements set forth for sterilization and infection control from the CDC and OSHA, and will continue to do so. However, it is possible to contract COVID-19 infection (or any other communicable disease) in any public space. Our College will provide for socially distant appointment scheduling, and also has added new protocals to the clinic to enhance our level of safety. However, due to the nature of the service, a 6 foot distance is not always possible between the student, Instructor and patron. Re-entering public life comes with some risks that we all must weigh, but we also want you to feel confident that our college is taking every step to keep our students, staff and patrons safe during this difficult time. Clicking "yes" below indicates that the risks involved are accepted, and that consent is given for Dudley Beauty College to provide education and services. *
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