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Covid-19 Health Declaration

How are you feeling today?

First Name

Last Name

Email

My body temperature is lower than 98.6 F/ 37.5 C

I am not experiencing the symptoms: fever, cough, sore throat

I have not been in close contact with a Covid-19 patient in the last 14 days

Initials

Date

I declare that the info I have provided is accurate and complete

Thanks for submitting!

Hridayam, LLC

(786) 473-4175

3850 Bird Road, suite 502

Miami, FL 33146

ABOUT
SHOP
COACHING
- CONSULT
- RESOURCES
MASSAGE
EVENTS
BLOG
CONTACT

The statements made on this website have not been evaluated by the Food & Drug Administration. Services and products provided by Hridayam LLC are not intended to diagnose, cure, or prevent any disease. If a condition persists, please contact your physician or health care provider. The information provided on this website or during your sessions is not a substitute for a consultation with your doctor, and should not be considered medical advice.

This website contains links to affiliate websites. Hridayam LLC may receive an affiliate commission for purchases made by you using such links from Mountain Rose Herbs, Amazon Services Associates Program, and other brands.

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