This form must be completed before each treatment session. COVID-19 can be asymptomatic and still be contagious.
Although there is no way to completely protect ourselves from this virus, I am taking all precautions and disinfecting my treatment room between sessions and using personal protective equipment (PPE) as required.
I will ask you to wash/sanitise your hands as soon as you enter the treatment room and afterwards.
I may ask you to wear a face covering during your treatment.
Please complete the form so we can do our best to protect each other.
Thank you for your understanding – Vicky
If you prefer, you can download the pdf here and bring the completed form with you.