Thank you for providing this information which will help keep both of us safe and makes massage therapy possible.
Check the box above to digitally sign this declaration.
I have read the terms and conditions below.
The information I have provided is true and correct to the best of my knowledge and I make this declaration in good faith.
If any of this information changes prior to an appointment I will inform you before the apppointment.
If I, or someone I have been in contact with, has symptoms of Covid-19, or tests positive for Covid-19, or has been contacted by NHS Track & Trace I will inform you before my appointment.
I understand I can be prosecuted for making a false declaration if any person should suffer as a result of the information being found to be untrue.
I consent for you to inform NHS Track & Trace if so required.