COVID-19 Information

As part of our safety measure and to minimise and manage the risk of transmission of novel Coronavirus (covid-19), we respectfully ask all visitors to Physio-Wise to complete the following questions before entering either our Gawler or Lyndoch practice. The information provided will be maintained in accordance with the Physio-Wise privacy policy.

COVID-19 Wellness Declaration

  1. I have / have not travelled to or transited via any country or region during the past 21 days considered to pose a higher risk of covid-19 transmission according to the latest advice on the Australian Department of Health website.
  2. I am / am not exhibiting or showing any signs of covid-19 symptoms (fever, flu-like symptoms such as coughing, sore throat, fatigue, shortness of breath)
  3. I have / have not to the best of my knowledge, had any contact with any person (family, friends or colleagues etc.) diagnosed with or suspected of having covid-19 during the last 21 days.

Notes

  • If you have responded “have” or “am” then we respectfully ask that you do not enter our premises and reschedule your appointment and/or clinical exercise class.
  • If all of your responses are “have not/am not” then you are required to follow our current team member guidelines and company policies applicable to covid-19. Reception staff can provide you with copies upon request.

Wellness Declaration Form

You may download and complete the full Wellness Declaration form, or complete the form online below.

IMPORTANT: Please complete the form before entering either our Gawler or Lyndoch practices.


Please provide phone or email

By submitting this form, I declare all information provided is true and correct.

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Do not hestiate to get in touch with us if you have any further questions.