COVID-19 form

Before each appointment I need to complete a coronavirus check with you. Please can you complete the below and submit the form before visiting the clinic. This needs to be completed for each appointment until further notice.

I will be completing a lateral flow test twice a week and if I suspect any symptoms of COVID-19, or if I think there is a possible exposure risk, I will contact you.

I look forward to seeing you at your appointment!

Do you have any of the following?