COVID visit form

Please complete this form on arrival at the office, every day you visit the office.



QR code scanned:

Body temperature reading:

I confirm that I don't have any of the following symptoms: a new, continuous cough – this means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours (if you usually have a cough, it may be worse than usual); a loss or change to your sense of smell or taste – this means you've noticed you cannot smell or taste anything, or things smell or taste different to normal.

I have taken a home test within the past 12 hours and the result was negative. I reported this result via the UK Government website.