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Hair & Beauty Fusion, Southport
Client consent for salon services during COVID-19 Pandemic
The requirement for client health screening and client consent forms part of Hair & Beauty Fusion's risk assessment. We are a close contact services business and have been instructed by the UK Government and our insurance companies to perform a COVID-19 related screening of our clients ahead of every appointment. We will need to provide evidence of taking such measures if inspected by the Health & Safety Executive or Local Authority representatives.
In order to protect our workers and clients we can only offer our services to those who meet the following requirements.

Client Statement

I understand that:

  1. Physical distancing of 2m. may not be possible at all points whilst in the salon

  2. I am required to wear a covering over my nose and mouth in the salon, unless I have an exemption

  3. I must sanitise my hands before or upon entering the salon

  4. I must make all attempts to cover my mouth and nose in the event of coughing and/or sneezing and then immediately sanitise my hands

  5. I will minimise the touching of common surface/areas

  6. I understand the staff of Fusion-Southport will do everything possible to minimise the spread of COVID-19, but will not hold them responsible should I contract COVID-19.

I confirm that:

  1. I am not currently positive for COVID-19 or waiting for the results of a test for COVID-19

  2. I have not currently been asked to self-isolate by any government agency

  3. I am not presenting with any of the following symptoms of COVID-19:

  • High temperature, fever, chills or body aches (flu-like symptoms)

  • Recent onset of a new continuous cough or Sore Throat

  • Shortness of breath / Difficulty breathing

  • Loss of normal sense of smell or taste

I will immediately notify the salon if I contract the virus within two weeks following my visit.
By completing the following details I am verifying that the information I have provided on this form is accurate and signing this form.

I'd like to receive the latest news about Fusion's services and offers via WhatsApp or email (maximum 2 per month)

Thanks for submitting!

Hair & Beauty Fusion - GDPR Statement

We will not share your information with any other person or Government agencies without your consent.

Please be reassured that data is stored securely and can only be accessed by members of Hair & Beauty Fusion that specifically require access to your data for the purpose of providing your services/treatments.

If you have any questions regarding our storage or use of your personal data please contact Zena Mann or Lisa Sharples-Rimmer, at Hair & Beauty Fusion.

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