Complete our Pre-Covid Form as our visitor policy

Pre-treatment Questionnaire

Do you currently or have you had in the last 7 days, any symptoms of cough, fever, high temperature, sore throat, runny nose, breathlessness, changes in taste or smell or any flu like symptoms?

Have you been diagnosed or suspected of having any highly infectious illness in the last 7 days?

Have you been advised by a doctor to self-isolate at this time?

13 + 6 =