COVID | JE Therapy Clinic

Do you or any member of your household currently have:

High Temperature

New, continuous cough

Loss or change to your sense of smell or taste

Do you or any member of your household currently have any newly identified symptoms:

Runny Nose

Sore Throat

Headache

Sneezing

Have you been advised to self-isolate either from track and trace or a recent trip abroad?

Yes

No

Are you consider to be in the extremely vulnerable group?

Yes

No

Have you had the COVID vaccine or a booster in the last 48 hours? If yes we must delay treatment until 48hours has passed.

Yes

No

Are you currently taking medication for COVID-19?

Yes

No

Have you been diagnosed with Long-Covid?

Yes

No

Winter Virus Health Declaration