Covid-19 Wellness Check

Please fill out the following form within 24 hours prior to your appointment to ensure that you are fit to attend. Failure to submit the form within this timeframe may delay your appointment.

Screen Shot 2018-01-02 at 16.49.52.png
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!