PRE – APPOINTMENT WELLNESS SCREENING CHECKLIST

Please complete this online screening questionnaire 24hrs before appointment. 

PRE – APPOINTMENT WELLNESS SCREENING CHECKLIST

Temperature or feeling feverish

New cough

Shortness of breath

Flu-like symptoms such as fatigue, headache

Nausea or Diarrhoea

Chills or shivering

Muscle pains or rash

Loss of taste OR smell

Have you been diagnosed or suspected of having COVID-19

Have you had a throat and nasal swab?

Did you test Positive or Negative?

Have you had an antibody blood test?

Was it Positive or Negative?

Fever, Cough, Shortness of breath or Flu-like symptoms?

Sore throat, Muscle aches, Fatigue, Nausea & Diarrhoea?

Have any of your family or immediate/close contacts been diagnosed with COVID-19?

Have you travelled internationally or within the UK or attended a public event in the last 15 days?

Has any of your family or close contacts recently travelled internationally or within UK or attended an event in the last 15 days?

PATIENT SIGNAUTRE

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Call us: 07876336480

 

Free Consultation

 

Opening Hours

Tuesday – Friday 10am-5pm.
Late evenings Wednesday & Thursday.