CLINIC VISIT PROTOCOL

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PREPARING FOR YOUR CLINIC VISIT

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Thank you for booking an appointment with the MACS Clinic. We look forward to welcoming you.  At MACS Clinic we understand that our patients want to get the most out of their consultation, as well as have a safe and comfortable experience here.  Therefore, to help you prepare for your appointment, we would like to advise you that your visit will involve the following: 

If you have any comments or concerns about any of these aspects of your forthcoming consultation, please do not hesitate to call us to discuss in advance of your appointment. Please sign and date below to let us know that you have received and understood this information.

CONSENT COVID-19

(For Patients Undertaking Procedure at MACS CLINIC) ________________________________________________________________________________

I have been informed to take an RT-PCR COVID test and then self-isolate for a total period of 72 hours before the day of my operation. I confirm that I have self-isolated and adhere to government guidance of social distancing for the period of 72 hours. Before the date of my operation. I will also self-isolate adhere to the government guidance of self-isolating and will keep social distancing for a period of two week after the date of operation. I understand the COVID-19 related consequences and will be responsible for the same

Signature:           ………………………………….                           Signature:           ………………………………..

Date:                     ………………………………….                           Date:                     ………………………………..

Patient Name:   [PatientFirstname] [PatientLastname]  Consultant:        …………………………………….