1.1.   Extra blanket and sheets to be removed.

1.2.   Clean laundry is all stored in a closed cabinet

1.3.   Fabric chairs for seating to be removed and replaced with chairs that can be sanitized.

1.4.   Treatment room and office are sanitized per sanitizing procedures (see below).

1.5.   Posters hung in and around office/treatment room.

Poster on cough hygiene
Hand washing hygiene

1.6.   Patients are alerted to change in typical procedures.

1.7.   Assess PPE, hand washing stations, hand sanitation stations, waste receptacles, social distancing space.


2.1.   Patients are allowed the day before their scheduled appointment to report any COVID-19 symptoms they may be experiencing.

2.2.   If any positive COVID-19 symptoms are present, on site appointment will be cancelled with the option to reschedule a later appointment.


3.1.   Upon Arrival at the Clinic:

  • Patient is asked to remain in vehicle or outside on sidewalk until their appointment time.
  • After entering the waiting room, patient will be asked about any COVID-19 symptoms they may be experiencing.
  • Forehead temperature will be taken on each patient after entry.
  • The 10-person limit is applied to this clinic, and at no time do the number of practitioners, staff, and patient exceed 10 persons.
  • Patients may wear face mask. Cloth face masks are acceptable.
  • Patients must wash hands with soap and water or use hand sanitizer after sign in.
  • Patients may wait or linger in the hallway outside the waiting room.
  • Anyone who has accompanied the patient to the clinic must remain in the car or outside the clinic.
  • Patient and practitioner will allow 6 feet of distance when possible.
  • Both patient and practitioner may wear a face mask.
  • Practitioner may wear gloves during the treatment or anytime they are directly contacting the patient.
  • Practitioner may wear minimal jewelry.
  • Practitioner will wear scrubs/lab coat which has been washed before and will be washed immediately after each day in the clinic.
  • Patients are encouraged to dispense tissues and paper towels, if needed are provided to patients with a no-touch waste receptacle.
  • Electronic invoices will be sent to the patient to online. Credit cards, checks and cash will be accepted.

4.       LAUNDRY:

  • Clean laundry will be stored in a closed cabinet separate from any other potentially contaminated items.
  • Linens and pillowcase will be changed after every patient.
  • Towels, gowns, sheets, pillowcases, etc. will be used only for one patient.
  • Front office staff/practitioner will wear gloves while handling dirty linens and disposed of immediately after.
  • Dirty laundry will be stored in a closed closet and taken to clean every 1-2 days.


  • A checklist is created with items to be sanitized after each patient/daily/weekly.
  • These items will be signed and dated after completion.
  • All hard surfaces will be cleaned and disinfected with Hospital approved, or EPA registered, or CDC recommended disinfectant for COVID-19 according to label.
  • Solution will be sprayed on surfaces and allowed contact for at least 3 seconds before wiping.
  • Frequent touch surfaces will be cleaned after each patient including but not limited to:
  • Treatment table, chair, desk/table, door handles, light switches, soap dispensers, faucet handles, sinks, bathroom toilet, etc.
  • All surfaces in treatment room will be disinfected daily.
  • All surfaces around the clinic that are frequently touched surfaces by staff will be disinfected daily.
  • Office floors will be disinfected weekly.
  • A minimum of 3 minutes will be allowed between patient visits for disinfecting.
  • Gloves will be worn while cleaning/disinfecting.


  • No telehealth consultations will be used, except for psychotherapy.
  • If person count in the clinic should exceed 10, patients will wait in car or outside until called in for their appointment.
  • No more than three persons allowed in the waiting room, except for families.
  • Anyone accompanying the patient to the appointment must wait in the car or outside the clinic.
  • If necessary, curbside delivery of supplements will be utilized for any patient who doesn’t have an existing onsite appointment.
  • Patient and practitioner will maintain 6-foot distancing as much as possible during intake/treatment.
  • Practitioner is coordinating with other practitioners within the clinic to ensure no more than 10 people in the clinic at any given time.
  • Practitioner is limiting number of patients per day and designating at least 3 minutes between appointments to clean/ventilate the room.

7.       GLOVES:

  • Gloves may be worn during patient treatment- while checking pulses, needling, etc.
  • If gloves are worn, they will be changed between patients.
  • Gloves are single use and disposable.
  • Practitioner will wash hands before putting on and after removing gloves.
  • Gloves will be worn to clean and disinfect treatment room.

8.      FACE MASKS

  • Practitioners and patients may wear cloth masks or gaiter covering their nose and mouth.
  • Face masks should be changed daily, but if supplies are limited and mask is clean, dry, hasn’t been touched, and has no visible defects, it may be worn for up to 7 days.
  • Mask may be removed between patients when not in contact with others.
  • Hands must be washed before putting mask on or removing mask.
  • Interior of mask may not be touched.
  • Mask may be placed in a paper bag between uses.