Should I be advised to self-isolate due to Covid19 or I test positive for Covid19 over the next 10 days I will inform you. I confirm that the above information is accurate to the best of my knowledge and that all necessary precautions are in place to prevent the spread of Covid19 and that I am happy to undergo treatment. I know no reason why I should not receive treatment. I understand that treatments undertaken by me are at my own risk and that the therapist may not be able to cure my complaint. I understand and agree to receive the treatment explained to me by the therapist. I will keep my therapist up to date with any changes to my medical, mental or physical health. I accept my details are to be passed on if either I or my therapist develop Covid-19.