Caroline Fuseau Therapy

Do you, or anyone in your household, have a have a high temperature (fever), a new persistent cough, loss of taste or smell, or any other symptoms of Covid-19?

Select option

Yes - Please do not come to your session & seek help via NHS 111 online service

No

Have you come into close contact (within 6 feet) with someone who has a confirmed Covid-19 diagnosis in the past 14 days?

Yes - Please do not come to your session & seek help via NHS 111 online service

No

Have you tested positive for Covid-19 in the last 7 days or are you awaiting a test or a result of a test?

Yes - Please do not come to your session & seek help via NHS 111 online service

No

Have you recently traveled to an area with known local spread of COVID-19? *

Yes - Please do not come to your session & seek help via NHS 111 online service

No

Have you, or anyone in your household, been identified as a Vulnerable person/High Risk Group? Or been advised to isolate as part of the contact tracing programme, or NHS guidelines? *

Yes - Please contact me to discuss alternative options

No

Caroline Fuseau is following guidance given by the Government and individual professional bodies regarding Coronavirus prevention, but there may be a risk of infection involved with any face to face meetings *

I am aware of the risks and alternatives available

I accept there may be a risk and agree to come to my session

I declare that if I start to show any of the above symptoms in the 14 days following my session I will contact Caroline Fuseau to mediate the risk of further spreading the virus *

I agree

I don't agree