Family Minded Pre-appointment information and Covid-19 Health Declaration

Family Minded Pre-appointment information and Covid-19 Health Declaration

To be completed on the day of the appointment
Here are some guidelines for attending our office in your upcoming appointment.

Please ensure everyone is well and please don't attend if you/your child is symptomatic. If you/your child is symptomatic but otherwise feeling well please contact us ASAP to arrange a telehealth session.

Please be aware that children should not be left unattended in the waiting area and you will need to stay in the building during your child's appointment unless prior arrangements are made. Where possible, please avoid bringing siblings to the office especially if you will need to talk to your child's clinician privately.

Please do not attend the office if you/your child had tested positive for COVID within the last 7 days.
Our COVID-19 safe practice info is here: https://www.familyminded.com.au/covid-19.html
1. Name of Person attending for therapy*

First NameLast Name
2. Name of adult accompanying child/young person (if applicable)*

First NameLast Name
3. Date of Appointment*
BetulCatherine CChelseaDavidFionaKatherine HKhadijahLukeMichaelSamVarda
YesNo
No, I am not a close contact.Yes, my child/I am a close contact.
YesNo
On behalf of all of the team and clients at Family Minded, thank you for assisting us in ensuring we can stay open to support all of our families at this difficult and challenging time.
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