COVID Policies and Procedures:

1.  24 hours prior to the treatment session, you will screen your client:
   1. Have you or your child been exposed to anyone who has tested positive for COVID 19 in the last two weeks?
      1. If yes complete telehealth evaluation/treatment session
2. Within the past two weeks, have you experienced any of the following?
   • Cough, shortness of breath
   • Unexplained fever >100.0F
   • Chills
   • Repeated shaking with chills
   • Muscle pain
   • Headache
   • Sore throat
   • New loss of taste or smell
3. If symptom screen is positive, reschedule the in-person appointment until symptoms resolve

IN-HOME APPOINTMENTS/EVALUATIONS:

1.  Proper hand hygiene with company provided hand sanitizer and/or soap/water prior to the session
2. Employees should be wearing masks at all times throughout sessions
3. The session should ideally take place in an outdoor space and/or open space
4. Limit the number of items you bring inside a family’s home.  Wipe down anything brought into the house prior to the session AND after the session
5. Proper hand hygiene after the session

EMPLOYEE SELF MONITORING

1.  Employees should consistently monitor themselves for any symptoms of COVID 19, including:
   • Cough, shortness of breath
   • Unexplained fever >100.0F
   • Chills
   • Repeated shaking with chills
   • Muscle pain
   • Headache
   • Sore throat
   • New loss of taste or smell
2. If Employees experience any of these symptoms, the employee should reschedule in-person appointments until they are symptom-free for 3 days.

I, ______________________________, have read and agree to abide by Melissa Peters Speech Pathology Inc’s policies and procedures regarding  COVID 19.  I voluntarily agree to assume all of the foregoing risks of treating clients in-home and accept sole responsibility for any injury to myself, my family, and my children.

Signature ______________________________

Date ______________________________