Dear Sage Community,
We are accepting new patients — mindfully and carefully.
To ensure the safety and well-being of our patients & staff, Sage Acupuncture is following the recommendations for healthcare facilities by the CDC and other leading medical authorities. In accordance, all staff and patients, including those who are vaccinated, are required to wear masks while in any of our clinics.
Before coming in for your appointment, please review and submit the following forms:
- #1 – Fill out this form only once. Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19
- #2 – Fill out this form the day before EACH appointment. COVID-19 Agreement and Screening Questionnaire
Guidelines for keeping our community safe:
1. Symptom Screening:
If you are sick in any way, including fever, body aches, sore throat, or uncommon digestive upset, please call 512-968-2605 for assistance rescheduling.
All patients will be pre-screened to verify that they are symptom-free and have not been exposed to anyone with symptoms or known illness. Please see the Assumption of the Risk and Waiver of Liability Relating to COVID-19 and Screening Questionnaire below.
All visitors will be required to bring and wear a mask covering their mouth and nose at all times. All of our practitioners and staff will also be masked.
3. Safety and Sanitation:
We are following best practices as outlined by the CDC and professional governing bodies. They include the following:
Appointments are arranged to ensure minimal, if any, contact between you and anyone other than your practitioner and our front desk staff.
To keep non-essential contact to a minimum, the parking lot is the new waiting room. Upon arrival please text us and we will reply to let you know when to come in for a temperature check. Only patients receiving treatment are allowed inside the building.
While you are receiving your acupuncture treatment you will have an opportunity (as always), to give us updates on your health or request supplement refills. However, if you would like to have a more in-depth discussion, please schedule a telehealth consultation.
All rooms and frequently touched surfaces are disinfected before and after each patient’s visit.
In order to maintain proper social distancing in our waiting area, if you need an herb or supplement order filled and are not coming in to receive acupuncture, please call ahead of time to arrange for pickup. You can also access our recommended products by clicking on Fullscript or Theralogix.
4. Virtual Telehealth Visits:
This is a great option for patients who feel best receiving care from home.
What we do during a virtual visit:
Follow-up care and modifications for pre-existing treatment plans.
New and ongoing diet, lifestyle, and herbal/supplement prescriptions for women’s health/fertility issues, and many other health concerns such as insomnia, anxiety, PMS, digestion, and immune support.
At home self-care plans including fertility management and emotional wellness.
Thank you for your understanding and patience during this challenging time and for any changes that may evolve in the upcoming weeks. We will continue to post on Facebook and Instagram with any updates.
We look forward to seeing you soon!
Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, throughout this pandemic federal, state, and local governments and federal and state health agencies have recommended social distancing and have, in many locations, prohibited the congregation of groups of people.
Sage Acupuncture LLC (the “Practice”) has put in place preventative measures to reduce the spread of COVID-19; however, the Practice cannot guarantee that you will not become infected with COVID-19 or that you are not already an asymptomatic carrier of COVID-19. Further, receiving services at the Practice could increase your risk of contracting COVID-19.
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by receiving services at the Practice and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Practice may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Practice owners and employees.
In consideration for being permitted to receive services at the Practice, I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with receiving services at the Practice. On my behalf, and on behalf of my heirs, executors, administrators, personal representatives, and assigns, I hereby release, covenant not to sue, discharge, and hold harmless the Practice, its employees, agents, and representatives, of and from any claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any claims based on the actions, omissions, or negligence of the Practice, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after receiving services at the Practice.
COVID-19 Agreement and Screening Questionnaire
Please submit this form within 24 hours of each appointment.
To ensure the safety and well-being of our patients & staff, Sage Acupuncture is following guidelines recommended for healthcare facilities by the CDC and other leading medical authorities.
All persons in our office must comply with the following, including those who have been vaccinated for coronavirus.
While on the Practice premises I agree to:
- Come unattended into the office.
- Maintain a distance of six (6) feet from other persons whenever possible.
- Bring and wear a face mask, that covers my nose and mouth, the entire time that I am in the clinic.
- Wash my hands with soap and water for 20 seconds upon arrival and maintain proper hygiene.
Please confirm your answers to the following Yes or No questions at the end of this form.
- I have had a fever of over 100.4°F/38°C in the last 72 hours.
- I have had symptoms of respiratory illness (fever, sore throat, cough, shortness of breath, etc), or other symptoms associated with COVID-19 in the last 72 hours.
- I have had a loss of sense of smell or change in taste in the last 72 hours.
If you answered “Yes” to any of the following questions, we are not able to treat you at this time.
I confirm that I understand, and agree to the Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19. Furthermore, I confirm that I have answered the screening questions truthfully.