Special policies and disclosure requirements for treatment at the Australian Health and Education Centre

PLEASE READ AND SIGN

We have instituted a new pre-treatment screening policy due to the COVID-19 pandemic which requires that you answer some additional questions before your treatment session.

We are relying on your honesty when answering these questions in order to minimise the spread of the COVID-19 virus, especially to those who are most vulnerable to its effects

Please note that failure to fully disclose this information or to answer the questions honestly will result in immediate cancellation of your appointment – at your cost.

PLEASE ANSWER THESE QUESTIONS

Please advise with a ‘yes’ or ‘no’ answer to the following questions. Please note that if you do not provide a ‘yes’ answer, you will be taken to have answered ‘no’:

In the past 14 days, have you, any members of your household, or anyone that you are in frequent contact with:

PLEASE NOTE: Even with additional screening and enhanced hygiene protocols, we cannot guarantee that you will not contract COVID-19. By proceeding with your appointment, you confirm that you accept this risk and do not hold Australian Health & Education Centre or Tracie O’Keefe responsible in the event that you, members of your household or anyone that you are in personal contact with, contract the virus.

By clicking the 'submit' button, I confirm that I have read and complied with the terms of Australian Health & Education Centre’s special policies and disclosure requirements as specified above.

Copyright 2020. Australian Health and Education Centre, Surry Hills, Sydney. If you have any questions about this form, telephone 02 8021 6429.