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"Compassion For Healing"

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Covid-19 Health Declaration

How are you feeling today?

First Name

Last Name

Email

My body temperature is lower than 98.6°F/ 37.5°C

I am not experiencing the symptoms: fever, cough, sore throat

I haven’t been in close contact with a Covid-19 patient in the last 14 days

Initials

Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

Virtually serving local and long-distance clients in any state. Serving Washington DC, Maryland, Virginia - (DMV) & Delaware and parts of PA face-to-face.

Cherill R. Ashton, B.S., M.S.

Actress, Blogger, Compassion Enthusiast, Radio Personality, Speaker, & Vegan Coach

Msg Line: (301)-327-6225