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Hii-Pen© Consultation Form

Covid-19 Screening Questions

To ensure the safety of all parties and to stop the further spread of the Covid-19 virus, please complete the below questions as honestly and accurately as possible prior to your appointment date.

Appointment Guidance

  • If you have answered yes to any of the above questions we will be in contact as you may need to reschedule your appointment with us.
  • Please only attend at your appointment time.
  • Please ensure you are on time - if you are late this may result in your appointment being cancelled.
  • Please attend your appointment unaccompanied.
  • Please limit the personal possessions you bring with you.
  • Please wear a face mask/covering to your appointment.
  • Upon arrival please wait until you are called forward to reception.
  • Upon arrival please use the hand sanitiser provided.
  • Please maintain social distancing where possible.
  • If you experience Covid-19 symptoms after your appointment please contact us immediately.


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Client Details



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