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Thanks for choosing Urban Lasers. We look forward to serving you soon. Please complete the form below as part of our COVID 19 safety protocol. This helps to ensure the safety of our clients and our team at Urban Lasers.

Please complete the following 24 hours before your appointment. Answer all questions.

Add your signature at the bottom before submitting.

We will contact you or send you a text reminder to confirm your appointment.

Name *

First

Last

Email *

Phone Number

1) COVID 19 Symptoms | Do you have any of the following new or worsening symptoms or signs? Separate from a pre-existing condition. Difficulty Swallowing, fever, new smell or taste disorder, nausea/vomiting, diarrhea, abdominal pain, unexplained fatigue/malaise, chills, headache?

2) TRAVEL | Have you traveled outside Canada or had close contact with anyone who has traveled outside of Canada within the last 14 days?

3) COVID CONTACT | Have you had contact or share residence with anyone with the above symptoms or a confirmed or probable case of covid-19?

4) FORM SUBMISSION | If you answered "No" to all the questions, please complete, sign and submit this form 24-hours prior to your appointment. If you answered "Yes" to any of the questions, you MUST RESCHEDULE at another time.

I have answered "NO" to all questions

5) CONFRIMATAION | I have read, understood, and answered the preceding questions honestly?

6) PPE | I Understand and agree to the Personal Protection Equipment (PPE) and sanitizing procedure expected of me as a client of Urban Lasers & Aesthetics?

7) VOLUNTARY PARTICIPATION | I am voluntarily participating in this scheduled appointment for personal/aesthetic services?

8) RISK | I understand that there are risks associated with my participation in this activity. *

9) My signature below, or electronic form submission, confirms that I assume all risks of my participation in services *

Date & Time Of Submission

Enter your name below and submit your COVID 19 Screening Form. Thank You,

Name

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Tattoo removal
Skin tightening
Hair removal
Cosmetic injectables

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(780) 464-0335

#204 85 Cranford Way
(Tailor Made Business Centre)
Sherwood Park, AB T8H 0H9

MENUMENU

About
Treatments
Conditions
Products
Contact
Call us

Monday	9:00 AM — 5:00 PM
Tuesday	9:00 AM — 5:00 PM
Wednesday	9:00 AM — 5:00 PM
Thursday	9:00 AM — 7:00 PM
Friday	9:00 AM — 5:00 PM
Saturday	Closed
Sunday	Closed