Covid-19 Risk Assessment

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Thank you for booking with Essentia Holistic Health. You must complete the following risk assessment prior to each appointment to ensure it is safe for you to attend.

***PLEASE COMPLETE WITHIN 24 HOURS PRIOR TO YOUR VISIT***

PREPARING FOR YOUR VISIT
We would like to share some guidelines to help you prepare for your visit and let you know what to expect regarding our Covid-19 health and safety procedures.

FACE COVERINGS
Please note it is mandatory for all clients to wear face coverings (unless you are exempt). Please arrive for your appointment wearing your face covering. You are required to keep the facemask in place for the whole duration of your visit (unless specific treatment of the face is involved. If required a disposable mask, this can be arranged.

ARRIVAL
Upon arrival for your appointment, please check in at reception using the self service sign in on the ipad provided. This will notify your therapist that you have arrived. Please take a seat and you will be collected shortly.

NHS TEST & TRACE
You are required to register your visit to Essentia by scanning the NHS Test & Trace QR code displayed at the entrance to the therapy room. If you have not already, please download the NHS Covid -19 official app in preparation for your visit.

• Please note we are taking cash only payments at this time.
• Please arrange for the correct amount wherever possible to avoid giving change.
• On arrival please declare any changes in your health or the health of those within your family unit.
• Please inform your therapist if you develop any symptoms associated with Covid-19.
• In the event of cancellation due to covid related issues, our usual cancellation policy will not apply.
• Please wash your hands (and/or use the hand sanitiser provided) on both arrival and departure.
• It is compulsory for all clients to wear a face covering for the duration of your appointment. Please bring and wear your own mask upon arrival.
• Please arrive for your treatment at your designated time.
• Please attend your appointment alone.
• Please avoid bringing large bags and coats if at all possible.
• We suggest you bring a bottle of water.
• Please maintain social distancing guidelines while in the waiting area and moving around the building.
• Please operate a one in one out policy when using the rest rooms located in reception.

The safety of our clients and therapists are of paramount importance to us. We reserve the right to reschedule your appointment if we feel it is necessary in the interest of health and safety.

Thank you for your cooperation. If you have any questions, please feel free to contact us prior to your appointment.

We will look forward to seeing you soon.

1. Your Name *

2. Mobile Number *

3. Email Address *

4. Todays Date *

5. Your Therapists Name *

Tracey Fusco

Ellie Green

David Upton

6. Your Treatment *

7. Are you currently showing any of the following symptoms of Coronavirus? Please see link for most recent guidance: https://www.gov.uk/coronavirus *

High temperature

Continuous cough

Loss or change in your sense of smell or taste

None of the above

8. In the last 14 days have you been in contact with anyone exhibiting any of these symptoms, or who has been diagnosed with, or suspected of having Covid-19 or been contacted by NHS Track & Trace team and advised to self isolate? *

Yes

9. Are you defined by the Government as being at extremely vulnerable? (those with an NHS letter or contacted by their GP) These include those with the following conditions: weakened or compromised immune systems, transplants, severe lung conditions, severe asthma, severe COPD, born with serious heart condition or are pregnant, etc. Please see link for most recent guidance: https://www.gov.uk/coronavirus *

Yes

10. Are you defined by the Government as being vulnerable? These include those with the following conditions: Pregnancy, being elderly (over 70), long term conditions such as diabetes, non-severe lung conditions, heart conditions, etc. Please see link for most recent guidance: https://www.gov.uk/coronavirus *

Yes

11. Will you be travelling by public transport, or be subject to any other situation which might lead to you being exposed to Covid-19? *

Yes

12. Is there anything else you think we might need to know?

Would you like to stay up to date with Essentia's offers and services by signing up to our monthly newsletter? *

Yes

Thank you for taking the time to complete the Covid-19 Risk Assessment. We reserve the right to reschedule your appointment if we feel it is necessary in the interest of health and safety. We will contact you if we have any concerns. Should you have any questions, please feel free to contact us prior to your appointment. We will look forward to seeing you soon.

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