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6 HARRISON ROAD, MT WELLINGTON, AUCKLAND - PHONE 09 526 2100
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Richard
2022-01-09T18:58:55+00:00
Request an Appointment
Request appointment at the Chiropractic Centre
Pre-Appointment COVID-19 Screening
To ensure we operate in a safe environment whilst we deliver chiropractic care, please answer the following screening questions related to COVID-19.
In the past 14 days, have you had a respiratory infection with any of the following symptoms?
Cough
Fever
Shortness of breath
Sore throat
Sneezing
Runny nose
Loss of sense of smell or altered sense of taste
Screening Part 1
(Required)
Yes
No
If you have cold, flu or COVID-19 symptoms, please stay home and call your doctor or Healthline on 0800 358 5453 for advice about getting tested. We will have to defer your appointment according to Ministry of Health guidelines. Please contact us on 09 526 2100 to schedule an appointment at a later time.
In the past 14 days have you:
Received a positive COVID-19 test result, or
Been tested for COVID-19 and is awaiting results, or
Had contact with a COVID-19 case, or
Visited a current location of interest, or
Screening Part 2
(Required)
Yes
No
We will have to defer your appointment according to Ministry of Health guidelines. Please contact us on 09 526 2100 to schedule an appointment at a later time.
Your Contact Details
Name
(Required)
First
Last
Email
(Required)
Phone Number
(Required)
Preferred Date
(Required)
DD slash MM slash YYYY
Preferred Time
Hours
:
Minutes
AM
PM
Student Intern Name (if known)
Comments (optional)
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