COVID 19 Pre Appointment Assessment | Please complete the following form and press the 'Submit' button within 48 hours of your appointment. Many thanks | | By submitting this form this is your declaration: I solemnly and sincerely declare that the information I have provided is true and correct and I make this declaration conscientiously believing the same to be true. If any person should suffer as a result of the information being found to be untrue and false, then I am aware I can be prosecuted for making a false declaration. I consent to my information being shared with NHS Test & Trace service should it be required. | | | | Please note that all information submitted via this form is private and confidential and will not be shared with any individual other than your therapist, unless there is a legal requirement to share your information. Your personal information will be stored in accordance with GDPR requirements and you can request access to the information relating to you that is held by Calico Massage Therapy at any time. Calico's full Privacy Policy can be found here. | | |
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