Pre-Screening Questionniare

At Jazz Laser Hair Clinic Medical Spa we take great pride in ensuring the safety and health of our patients and community. If you have not already done so, please review the current guidelines for attending your appointment at the spa by clicking here.

Prior to your next visit, please fill out the form below:

Do you have any of the following new or worsening symptoms or signs?

In the last 2 weeks have you traveled outside of Canada or had close contact with anyone that has traveled outside of Canada?

In the last 2 weeks have you been in contact with someone experiencing COVID-19 symptoms?

In the last 2 weeks have you been in contact with someone who appears to have COVID-19?

In the last 2 weeks have you been in contact with someone who has been diagnosed with COVID-19?