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July 16, 2021 Update:

Ontario will move to Step 3 effective Friday July 16th. Personal Care services including Reflexology is allowed to re-open with capacity limited to permit physical distancing of 2 metres and other restrictions.

June 30, 2021 Update:

Ontario will move to Step 2 effective Wednesday June 30th. Personal Care services including Reflexology is allowed to re-open with restrictions - 25% capacity, appointment required and removal of face covering not permitted.

June 11, 2021 Update:

All of Ontario is moving to Step 1 effective Friday June 11th, slowly re-opening in steps (3). Personal Care services including Reflexology is not allowed to re-open until the 2nd Step which may begin soon if all goes well.

Reflexology falls under Personal Care
services and is not permitted to be open during this period.

April 03, 2021 Update:

All of Ontario is once again in a "Stay At Home" via the "Emergency Break" mode for 4 weeks.

Reflexology falls under Personal Care
services and is not permitted to be open during this period.

COVID-19 public health measures and advice link from the Ontario Government website has information on the latest covid measures in place for our regions. There is an interactive map and what each colour/ code means. Always look for personal care services within each code (scroll down to almost bottom of list in all codes) - https://covid-19.ontario.ca/zones-and-restrictions If in doubt about anything, always consult with the local health authorities in your area.

Jan. 13, 2021 Update:

All of Ontario is now in a "Stay At Home" mode and may continue for a few weeks as colour zoning is on hold.

Personal Care
services is still shown to be closed during this time period (pg 28).

Jan. 8, 2021 Update:

Northern Ontario is now in lockdown for another 2 weeks until Jan. 23rdh (same as S.Ontario). Personal Care Clinics are still required to be shut down during this period.

Refer to the Covid-19 Zones for Ontario at: https://covid-19.ontario.ca/zones-and-restrictions

Dec 21, 2020 Update:

Refer to the Covid-19 Zones for Ontario at: https://covid-19.ontario.ca/zones-and-restrictions

For areas other than Green Zone, the province is in lockdown mode for 28 days in Southern Ontario and for 14 days in Northern Ontario. Personal Care clinics are required to be shut down for this period.

For the most current information in your area, check your provinical government website and your local Health Units.

Stay Safe!

Suggested COVID-19 Prevention Methods for Reflexologists


The following are guidelines only for Reflexologists and their clients.
Ultimately, everyone's safety has priority.
Client Interaction
  • Clients should be contacted prior to a session and entering the clinic space to determine if they are experiencing any possible COVID symptoms: cough, fever/signs of fever (temperature of 37.8°C or greater), headache, sore throat, hoarse voice, nasal congestion, shortness of breath, difficulty swallowing or runny nose. No client with these symptoms should be permitted to enter the clinic and must be advised to contact the local health unit to be assessed.
  • You may wish to use the CMTNL COVID-19 Client Screening Guidance document and printable report.
  • Also, the RMTBC;s Recommended Practic Guidelines for Registered Massage Therapists in BC during the COVID-19 Pandemic document is an excellent document to review and implement some suggested practises and forms.
  • During a session, many clients develop a runny nose due to lymphatic movement. Symptoms you should be concerned about are those in the screening guide that you have asked your client prior to a session.
  • Physical Distancing should be implemented in all areas of the clinic, between receptionist, other clients and other staff.
  • Clients should be scheduled at least 30 minutes apart, to ensure physical distancing and time for proper cleaning/disinfecting.
  • Where possible, invoices should be sent electronically.
  • Where possible, payments should be contactless (no cash).
  • Any client in a vulnerable demographic with secondary health conditions, autoimmune conditions, over the age of 60 or resides in a residential home is strongly recommended to forgo the session due to the increased risk. Clients who decide to proceed with the session are then making an informed decision.
  • Clients must be made aware of precautionary measures prior to session. Any client who refuses to comply with these measures can be refused from the session due to safety concerns and not referred to another therapist.
  • Place signage at entrance to ensure anyone with symptoms does not enter your clinic space, any client who arrives to your clinic with symptoms can be refused from the session.

Waiting Area/Work Space

  • Eliminate the waiting room if possible. If that’s not possible, at least, ensure removal of all unnecessary items (such as: magazines, water dispenser, business cards, pens, etc.) from the waiting area and treatment area to reduce the number of contact surfaces.
  • Client only should arrive for the appointment (no additional people).
  • Remove all objects that are not easily cleaned between clients (such as cushions, slippers, etc.)
  • Proper cleaning and precautions must be taken between clients including disinfecting all surfaces (such as: doorknobs, keyboards, chairs, table, head rest, lotion/oil bottle, telephones, faucets, debit machine keypads, cash registers, pens, mouse, switches)
  • Soiled linens must be placed in a sealed bag until washed and only handled with gloved hands, where possible use one-time use head rest covers.
  • Blankets/sheets must be changed for every client.
  • Private bathrooms must be disinfected after each use. Public bathrooms must be disinfected regularly and should have a notice for clients indicating that the bathroom is used by others and asking them to use caution.
  • Use of proper cleaners and disinfectant must be used.

Personal Protection Equipment (PPE)

  • Clients should wear a well-fitted mask that covers their nose and mouth. Therapists reserve the right to provide clients with a mask to wear upon arriving.
  • Therapists may wear a 2 or 3 ply medical mask. Homemade masks are discouraged for therapists.
  • Eye proctection should be worn if in close proximity (less than 2 ft) to the client.
  • Gloves are strongly recommended especially with work near the face.
  • Those who decide not to use gloves must disinfect hands prior to leaving the work room to avoid cross contamination throughout the clinic and still must wash hands.
  • Clients may refuse skin on skin contact and the therapist should include this in their informed consent.
  • Therapist may wear a gown/coat/apron that can be changed between clients.
  • Hand sanitizer should be at least 60% alcohol-based.
  • Wash your hands using liquid soap. Then wash them again. Get between your fingers. Use a nail brush for your nails and cuticles. Now do it one more time. Use a paper towel to turn off the faucet and to touch the door to exit the bathroom.
  • This is a good time for a hygiene audit of your office. Swab your doorknobs, light switches, countertops, and anything else you and your clients touch. Clean your cellphone daily. Wipe down your computer keyboard. If you use antiseptic wipes, READ THE DIRECTIONS -- some of them require prolonged contact to be effective.
  • Use disposable tissues when you cough or sneeze. Dispose of them immediately, and wash your hands again.
  • For more information, visit the CDC FAQ page.

Please remember that all information presented above are guidelines only to help guide you to work with your client safely.

If in doubt about anything, always consult with the local health authorities in your area or wait until the pandemic has been declaired over by local authorities.

If you are not comfortable with providing services during the crisis, then do not take appointments until you are comfortable with your safety and that of your clients.



Copyright © 1996-  - Ontario College of Reflexology and Donald A. Bisson
All Rights Reserved. Reproduction in whole or in part in any form or medium without express written permission of O.C.R. is prohibited.