C19 screening

Before your appointment, to make sure we can make everybody’s experience as safe as possible, please could you:

1. Answer the COVID-19 screening questions shown below.
This should be completed the day before your appointment.
If you have several appointments booked on different days, please complete the screening before each appointment.
If you answer ‘yes’ to any of the questions, please contact us to postpone your appointment

2. Update your medical details here

3. Read important information about what to do before and during your appointment here

Thanks for your time in doing this. We all appreciate it.

COVID-19 screening

Please complete the assessment the day before your appointment

DoB

Email address (optional)

If you provide an email address, we may send you service messages such as appointment reminders and important updates.

Questions

1. Have you tested positive for COVID-19 in the last 7 days?

2. Are you waiting for a COVID-19 test or the results?

3. Do you have any of the following symptoms?
A new continuous cough, a high temperature, or a loss or change in smell or taste

4. Do you live with someone who has either tested positive for COVID-19 or had symptoms of COVID-19 in the last 14 days?

5. During the last 14 days have you been notified by NHS Test and Trace that you are a contact of someone who has tested positive for COVID-19 (and you don't live with that person)?

Thank you for your time in answering the questions.

Monday	0900-1300, 1400-1900
Tuesday	0900-1300, 1400-1700
Wednesday	0900-1300, 1400-1700
Thursday	0900-1300, 1400-1700
Friday	0900-1300, 1400-1700

C19 screening

COVID-19 screening

Please complete the assessment the day before your appointment

Questions

Opening Times

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