This form is a checklist of what me, your acupuncturist, needs to know before my arrival. Examples are:
Access to your property and room where you would like treatment
Access to a sink
Any pets or people who will be in the home at the time of your treatment
This form is a screening tool for signs and symptoms of COVID. It is also a disclaimer that I will be on your premises and in contact with you for at least one hour and you are aware of potential transmission.
So you can see how and what I have of your personal data, you can look here. I have explained why I hold this data and how I securely delete this data after 7 years. It also gives you information on how you can find out what data I hold on you.