Pre-Covid Consultation Form
To help prevent the spread of COVID-19 in my treatment room and local community, I ask each client to complete and sign this form before attending for treatment.
On review of the form, I may contact you to ask you not to attend for your treatment at this time and will discuss a suitable future appointment.
N.B. Every question must be answered.
I have taken extra measures to safeguard you prior to arrival. Together we can help to keep everyone safe. Thank you for your co-operation