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Covid-19 Screening Form

Please complete Within 24hrs of your Appointment

Are you currently experiencing any of the following symtoms?
Have you been diagnosed with confirmed or suspected Covid-19 infection in the last 10 days?
Have you been advised by a doctor to self-isolate?

If you answer Yes to any of the prior questions please contact us to rearrange your appointment.

Thank you for your time, keeping Ireland safe.

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