COVID-19: Screening and Consent Before Visits

Last updated: 14/08/2020

Before your next visit please read the following and click on the link below to consent to treatment if you have answered 'no' to all the questions. If you answer 'yes' to any question then please contact the clinic immediately. 

COVID-19 Screening List

1. Do you have a fever?

2. Do you have any of the following signs or symptoms?

  • New or worsening cough

  • Runny nose

  • Sore throat

  • Shortness of breath

  • Chills

  • Sneezing (not allergy related)

  • Diarrhoea or abdominal cramps

  • Unexplained muscle cramps

  • Loss or decrease in sense of taste or smell

  • Unexplained fatigue or malaise


3. Have you had close contact with anyone with any of the signs and symptoms above or confirmed or suspected  COVID-19 in the last 14 days?

4. Have you returned from travelling abroad in the last 14 days?

5. Have you been in close contact with anyone who has returned from travelling abroad in the last 14 days?

If you have answered 'yes' to any of the questions above you need to contact the clinic before arriving for your appointment to discuss your options with us. We would kindly ask that you do not come to the clinic until you have spoken to us.

If you have answered 'no' to all of the questions above please check the statement below.

Although we have taken every precaution we can to ensure the clinic is free from coronavirus by meeting, and where possible, exceeding requirements for social distancing, disinfecting and PPE we cannot unequivocally guarantee the absence of any potential for contamination. I understand this and give my consent for treatment.

To consent to treatment please enter your full name below, tick the box and click the 'submit' button. (If this is not completed in advance of your next visit there is the option to sign a consent form in the clinic).

We hope that you can understand that these measures are to keep everyone safe and whilst inconvenient we are sure that we will all get used them in some way. We thank you in advance for your patience and if you have any feedback please could you let us have it.

Best wishes,

The Exeter Health team