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COVID 19 CONSENT FORM

    I knowingly and willingly consent to see Dr. Marina Yanover in person at Big Apple Health Center, to have acupuncture treatment or other procedures done, such as craniosacral therapy, cupping, microcurrent facial, and physical exams, during the COVID-19 pandemic.

    Please Read and Acknowledge by checking ALL the boxes below:

    As a health care professional, I believe that it is my responsibility to respond in a manner that prioritizes the health and well-being of our community, and I feel that this is the best way I can do so. Thank you for your cooperation in this matter.

    Please sign in the box below: