In person appointments are available All safety guidelines per NY State and the CDC will be adhered to. I am fully vaccinated. People may choose to mask at any time. People with symptoms, a positive test, or exposure to someone with COVID-19 should wear a mask. Accepting cash. Credit card payments are prepaid prior to your appointment. Cleaning will be maintained in the waiting area and reading room. Hand sanitizer will be available. Chautauqua County website on COVID https://chqgov.com/public-health/covid-19-information-businesses