Information & Consent Form

Risk of Coronavirus (COVID-19) Transmission at The Health & Vitality Centre

We are asking all our guests to read the below carefully and electronically submit the below form to confirm their understanding and agreement before attending the clinic for their appointment.  We thank you in advance for your understanding and co-operation.

The Health & Vitality Centre are following the most up-to-date Government and Public Health England guidance and have put in place stringent patient triage, hygiene, sanitation and infection control protocols to protect our patients and team members. We have conducted a thorough risk assessment to ensure adequate levels of safety are implemented and maintained at all times.
Despite these precautions, there is always a risk of transmission of the Coronavirus (COVID-19) everywhere that you go. We have provided the information below to help you feel comfortable attending The Health & Vitality Centre for your care at this time.

Precautions that The Health & Vitality Centre are following:

  •  All patients that request an appointment are contacted by The Health & Vitality Centre to establish:
    - whether symptoms are present;
    - if they are self-isolating;
    - if anyone in their household has symptoms or is self-isolating;
    - or they have been in contact with anyone with COVID-19 symptoms.
  •  We enforce a strict policy that anyone with any COVID-19 symptoms or living with family that have
    symptoms must stay away from the clinic.
  •  A second triage is conducted at the Clinic, including a temperature check.
  •  A strict cleaning, sanitation and infection control protocol is adhered to – please ask if you would like to see
    this document.
  •  All team members at The Health & Vitality Centre adhere to the previous social distancing guidelines issued by the Government;
  •  The layout of the clinic and timing of appointments have been adapted to maintain social distancing the best that we can;
  • Clinical team members will be wearing Personal Protective Equipment (PPE) for everyone's protection
  •  The Health & Vitality Centre is committed to ensuring that every measure is in place to minimise the risk of exposure to COVID-19.
The risk of catching COVID-19 from someone with no symptoms at all is very low. However, many people with COVID-19 experience only mild symptoms. This is particularly true at the early stages of the disease. It is therefore possible to catch COVID-19 from someone who has, for example, just a mild cough and does not feel ill (World Health Organisation).

Eligibility for Care

We are unable to offer face-to-face appointments to the following people:
1.If you self-isolating - until your isolation period is over and you have no symptoms;
2.You have COVID-19 symptoms (whether diagnosed by test or not); if you are living with someone with COVID-19 symptoms (whether diagnosed by test or not);
3.You have been contacted by track and trace service and been told to isolate until your isolation period is over or testing confirms that is is not COVID 19.
4. You have been advised by a medical professional to shield due to a current condition or upcoming procedure.

Consent to receive care at The Health & Vitality Centre

  • Please check all of the boxes below before submitting your form:
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