COVID-19 Declaration | Mysite

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CALL 07510175577

Covid-19 Health Declaration

To be completed 24 hours before your scheduled appointment.

First Name

Last Name

Email

My body temperature is lower than 98.6°F/ 37.5°C

I am not experiencing the symptoms: fever, cough, sore throat

I haven’t been in close contact with a Covid-19 patient in the last 14 days

Initials

Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

Contact

Phone

07510175577

Email

corevetphysio@hotmail.com

Hours of Operation

Mon: 5pm - 8pm

Wed: 5pm - 8pm

Fri: 5pm - 8pm

Sat- Sun: 9am - 6pm

Area of Service

Mobile service covering Northern Ireland.

Travel costs may apply, please contact for more info.

Thanks for submitting!

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