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Due to the ongoing COVID- 19 pandemic, we are taking extra precautions to ensure the safety of our staff and clients. 

As such we are kindly ask you to fully complete and submit this form. 

For our safety we have the right to refuse entry if you are showing or are experiencing any signs of the following. Please stay at home if you are unwell and contact us immediately on 0411 092 003

Cough / Fever of 38C or higher / Shortness of Breath 

Other symptoms including ached & pains, sore throat, headache or loss of taste or smell

Have you travelled or been in contact with someone that has travelled internationally within the past 14 days?
Have you come into contact with any suspected, probable or confirmed COVID-19 cases within the past 14 days?

Please read each of the following statements carefully and tick to indicate that you agree

Thank you for your submit. Look forward to seeing you soon!

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