YOUR HEALTH DECLARATION
This electronic Health Declaration is strictly confidential in compliance with GDPR regs.
It is essential that you fill in all the fields below.
If you answer 'YES', please explain.
I undertake to keep the therapist updated on my health, should there be any changes to the answers given in next TEN DAYS.
I understand that COVID-19 is passed by close contact with others, is still present in Cardiff and that people without symptoms may be infectious.
I understand that City Marshall takes every precaution to ensure my health and safety, but risk of infection is still possible.
By submitting this form I here by consent to take part in and adhere to the Welsh Test Trace and Protect protocol.
OUR ADDRESS :
QUAKER MEETING HOUSE
43 Charles Street
Cardiff, CF10 2GB
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