Pre-Appointment Covid-19 Screening Questionaire

Please read through our pre-appointment screening questionnaire so we can ensure we are providing a safe environment for you, our other patients and our staff.

If you answer yes to any of the questions in the questionnaire please contact us as soon as possible (04 9097609) and we will arrange for one of our clinical team to call you to discuss your options which may include arranging a telehealth appointment or advising you to contact your GP or Healthline.


Question 1.

Are you feeling unwell, with flu-like symptoms such as a sore throat, fever, cough, shortness of breath, or recent loss of taste or smell?


Question 2. 

Do you, or someone you have had contact with, have a confirmed case or COVID-19?


Question 3.

Are you, or is someone you have had contact with, currently undergoing testing for COVID-19 and awaiting the test results?


Question 4.

Have you, or someone you have had contact with had a test for COVID-19 and received a POSITIVE or PROBABLE result?


Question 5.

Have you, or a close contact, been asked to self-quarantine within the last 14 days?


Question 6.

Are you, or do you live with someone, over 70 years of age, or have a medical condition that could make you/them more vulnerable to illness (such as diabetes; respiratory and heart conditions; autoimmune conditions, or cancer)

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