Please fill in our COVID-19 consent form before attending your appointment. We’re collecting this information to help keep yourself and all our clients and clinicians safe and comfortable. Thank you for helping us with this.

COVID-19 Screening Information


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YesNo


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YesNo

Consent to treatment

I understand that, because my treatment may involve touch and close physical proximity over an extended period of time, despite our best efforts there may still be an elevated risk of disease transmission, including COVID-19.

I give my consent to receive treatment from Helen.

I understand that I can reduce my risk by following the guidelines given here and agree to follow these guidelines.