Sports Massage Covid-19 Consent Form Name Name Contact Number Please tick the boxes to confirm that you agree with the statement Covid Tickbox I knowingly and willingly consent to a face to face appointment during the COVID-19 pandemic. * I confirm that I have not tested positive for COVID-19 in the last 14 days, nor am I waiting for a COVID-19 test or results * I confirm that I have not had any of the following symptoms in the last 14 days: fever, shortness of breath, loss of sense of taste or smell, dry cough or sore throat. * I confirm that I have not knowingly been exposed to or in close contact with someone confirmed with or with symptoms of COVID-19 or anyone who has been exposed to someone with COVID-19 in the past 14 days * I confirm that I have not completed any air travel either domestic or international in the last 14 days. * I understand that I will need to wear a face covering during my appointment * I have had the opportunity to ask all the questions I wish to, and all of my questions have been answered to my satisfaction. * I give permission for my contact details to be passed to NHS test and trace if requested * Electronic Signature (type name) *
