LIFEFORM CHAIRS COVID 19 SCREENER
Thank you for your interest in getting a LIFEFORM Chair. We’re here to help you find the perfect chair.
For the safety and protection of our community and in accordance with AHS, please complete the following screener before attending your appointment. We appreciate your cooperation.
The following checklist applies for all customers, as well as all who
will be joining you,
The wearing of face coverings or masks is required.
By completing and submitting this declaration you agree to the statements within: * Required