Covid Safe Questionnaire

PLEASE ONLY COMPLETE THIS FORM THE DAY BEFORE YOUR APPOINTMENT.

I take Covid safety seriously, especially having had Covid myself in March 2020. So all government guidelines procedures are met and PPE used. I had my first vaccination on 10th April 2021. Please read my Hygiene and Business procedure before booking: https://www.headtotoeharmony.co.uk/post/covid-hygiene-business-procedures

Staying Safe Questionnaire

This is a temporary form that has been created for bookings during this Covid restriction period.

Privacy: All information is kept confidentially and will not be shared with other parties, unless a risk to you or others is of concern. Your GDPR rights will be respected. Consultation form information will be kept for a period in line with insurance company guidelines.

What treatment are you interested in