COVID 19 Well-being Screening and Consultation 

 

This consultation is in place to ensure we are doing our best to keep us all safe and well.

The form consists of a list of questions set out by the Government which helps us manage and monitor our well-being during this difficult time. Please answer all questions as accurately as possible to ensure we are following all guidelines and safety measures.

If you are in doubt or unsure, please specify this so measures can be put in place where required.

Once you have completed this screening and consultation, please submit at least 15 minutes prior to your appointment; this allows me time to read through it, complete the consultation, put extra measures in place where needed and give you a call if required.

Please give us any further details that you think might be relevant

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