Covid-19 Consent Form
and Wellness Check
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Please fill in the Covid-19 wellness check and consent form within 24 hours prior to your appointment to proceed. Failure to submit the form may delay your appointment.
Have you or any of your family members / immediate / close contacts currently sick or experiencing ANY of the following symptoms within the last 14 days?
Have you or any of your family members or immediate / close contacts recently travelled internationally, travelled within the UK, or attended a public event in the last 15 days?

Thanks for submitting!