COVID-19 Risk Assessment

To keep everyone safe we ask that anyone who has a face-to-face appointment with us completes the following risk assessment prior to their assessment or therapy session.

Known COVID-19 symptoms include – fever, dry cough, tiredness, aches and pains, sore throat, diarrhoea, conjunctivitis, headache, loss of taste or smell, a rash on skin, or discolouration of fingers or toes, difficulty breathing or shortness of breath, chest pain or pressure, loss of speech or movement (World Health Organisation).

1. Do you have/have you had any symptoms of COVID-19 (see symptom list above) in the last 10 days?(required)

2. Have you or anyone in your household tested positive for COVID-19 in the last 10 days?(required)

3. The answers provided are true and correct to the best of my knowledge. I will notify Adélie Psychology should they change prior to my appointment.(required)