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IV Therapy Consultation and Consent Form
Covid-19 Screening Questions
To ensure the safety of all parties and to stop the further spread of the Covid-19 virus, please complete the below questions as honestly and accurately as possible prior to your appointment date.
- If you have answered yes to any of the above questions we will be in contact as you may need to reschedule your appointment with us.
- Please only attend at your appointment time.
- Please ensure you are on time - if you are late this may result in your appointment being cancelled.
- Please attend your appointment unaccompanied.
- Please limit the personal possessions you bring with you.
- Please wear a face mask/covering to your appointment.
- Upon arrival please wait until you are called forward to reception.
- Upon arrival please use the hand sanitiser provided.
- Please maintain social distancing where possible.
- If you experience Covid-19 symptoms after your appointment please contact us immediately.
Tap or click on the signature above to sign