Dear Client

We are screening clients rigorously to make sure we stay in line with the Government regulations.

COVID-19 Practice Guidance for Massage Therapists has been prepared based on the Ministry of Health and Public Health Ontario information and resources, in collaboration with other healthcare regulators.
What does this mean?
In-person Massage therapy treatment should only be provided when the anticipated benefits of treatment outweigh the risks to the client and the RMT. Massage Therapy treatment is considered essential when the clients overall health or function would considerably decline if treatments where not provided (ie lead to hospitalization or other serious health consequences)
Here are some of the most important changes and expectations of me as an RMT and you as a Client as recommended by the CMTO: 
RMTs must thoroughly wash their hands (including forearms and elbows) with soap and water between clients. RMTs must encourage frequent and proper hand hygiene for all people present in the practice environment.
RMTs should set up hand washing and sanitation stations and post signage instructing on proper hand washing techniques so staff, clients and visitors to wash their hands upon arrival.
 In addition to routine procedures, high-touch surfaces should be cleaned and disinfected at least twice per day, and when visibly soiled. High touch surfaces include: doorknobs, light switches, washrooms including toilet handles, counters, handrails, arm rests, and electronics.
The treatment room and its equipment must be cleaned and disinfected after each use and between clients. 
As RMTs are responsible for additional cleaning and disinfecting between clients, clinics may need to allow more time between clients.
RMTs must create and maintain records of general infection prevention and control practices they have implemented. These records should reflect the date of and frequency with which the measures were applied.
The RMT must instruct the client to come to the appointment wearing a clean disposable or reusable mask that can be worn throughout the treatment. If the client cannot wear a mask (e.g. due to a health condition or difficulty breathing), the RMT must use their professional judgment to assess the risk of providing or continuing treatment.

Have clients arrive alone (where possible) and as close to their appointment time as possible. You can arrive 5 minutes before your appointment and I will be there to open the door for you.
If a client is unable to arrive alone, advise the client that the person accompanying them will be screened at arrival to the appointment and will be asked to provide their name and number upon arrival for contact tracing purposes. The person accompanying the client should also be instructed to arrive at the appointment wearing a clean disposable or reusable mask.
Maintain a roster of all people entering the space (including their name and phone number) to assist with contact tracing if required, ensuring client confidentially is maintained. In addition to clients, this may include couriers, guardians, and support people/workers. 
Ensure the client washes or sanitizes their hands upon arrival and after treatment.
RMTs must thoroughly wash their hands (including forearms and elbows) with soap and water before each treatment.

Immediately prior to treatment, the RMT must screen the client to ensure the client’s COVID-19 status has not changed, and must screen themselves using the same criteria
This screening must be documented in the client’s health record. 

After the Appointment
RMTs must thoroughly wash their hands (including forearms and elbows) with soap and water after each treatment and before and after disinfecting. Clean and disinfect anything used during the appointment.
Ensure clients and visitors do not leave their masks in waiting or common areas.
Single use gloves may be used but are not required for most treatments. 
Other Considerations
Though needed for draping, a cloth sheet is likely not sufficiently thick or layered to be an effective transmission barrier for COVID-19.
I will not be using blankets but will have more sheets and a table warmer available for comfort.
I apologize for the information overload but I feel that everyone should be well informed to make this a success for all of us.
You are welcome to book appointments online or call us to help you.
Just a friendly reminder to fill out your COVID-19 form (attached to your e-mail reminder) 2 days prior to your arrival to avoid cancellation of your appointment. 

Thank you for understanding as we are navigating through uncharted waters.

Kind Regards

Living Balance Clinic Staff

Tel: 519 601 6602

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