• WITHIN THE LAST 14 DAYS

  • This includes household contacts – if someone you live with is symptomatic
  • Healthcare workers caring for COVID patients wearing PPE are exempt from this question – they are casual contacts
  • When in Clinic, please ensure you follow our direction in respect of Covid-19, to include our on-site standard procedures regarding infection control (e.g. hand washing/hand sanitising, general coughing/sneezing etiquette, etc.). Information supplied in this questionnaire may be shared with any of our employees that you come into contact with and/or with the relevant authorities for contact tracing purposes.
  • This field is for validation purposes and should be left unchanged.