Full COVID-19 Screen

Please complete within 24 hours before your appointment. All numbered questions are required, there are nine in total.

The Quick Screen can be used instead if you have already completed a Full Screen and there has been no change in your circumstances since your last satisfactory Full Screen.

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Thank you for helping to keep the clinic COVID secure.

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So we can identify you, please enter the date and time of your upcoming appointment:

Please confirm your day of birth (DD only):