Amy E. White, The Points of Health
237 Lookout Place, Maitland, FL 32751
Phone: (407) 625-2629
Note: A PDF version of this document is available below, please download, print, and sign prior to your next in-person appointment!
The well-being of my clients, visitors, staff and community remain my highest priorities. I am paying close attention and keeping well informed with local and state health officials as well as the Centers for Disease Control and Prevention to inform my clients to pay close attention to their safety and the public health concerns created by the presence of coronavirus (COVID-19) in our community.
While in the office, with me, I have developed some practices that will assist in your safety while with me. Please note that I will be cleaning the treatment room thoroughly before and after every appointment. To further ensure everyone’s safety and well-being, I ask for your participation in following the appointment procedures listed below, as well as confirmation of the pre-appointment questions.
I appreciate your understanding and support as we work to navigate this unique situation and keep everyone safe and comfortable.
*Please initial next to each question to confirm that each statement is true, then sign at the bottom of the form. We appreciate your understanding and cooperation as we work to keep everyone safe.
I have not had a fever in the last 14 days.___
I have not been around anyone with a confirmed diagnosis of the coronavirus (COVID-19).___
I have not traveled outside of Central Florida in the last 14 days.___
If you have had a fever or traveled outside of Central Florida in the last 14 days, or have been around someone with a confirmed diagnosis of coronavirus (COVID-19), we ask that you remain home at this time. We will be happy to schedule a Telehealth appointment with you until it is safe to resume normal contact.
MASK is required for entry.
Upon arrival, please remain in your car, we will text you when it is time to come inside.
Upon entering the building, please wash your hand in one of our washrooms for 20 seconds or more along with the paper towels provided and/or use the hand sanitizer available in our waiting room.
We will be taking your temperature upon entry to the patient waiting area.
Please read the COVID-19 General Prevention informational sheet on my office door.
I have disposable disinfecting wipes in my office for you to use on surfaces such as countertops and doorknobs. Feel free to take one with you to use on surfaces on your way out of the building as well.
If you are paying by credit card, I will ask you to put your own credit card in the terminal and will ask you to sign your name on my phone with the stylus provided to you. I wipe down both the terminal and stylus after every use, for your added safety.
I also provide water and tea in my office. I will instruct you on making your own drinks and will wipe down all surfaces after each usage.
These precautions are for your safety. I care about your health both in my office and outside.
Thank you so much,