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Covid-19 Screening Questionnaire

Please answer ALL of the following questions within 24 hours of your appointment

If any of the above questions are answered ‘YES’ then Bring to attention of Consulting ENT, and then likely proceed with MEG Policy of advice and appointment rescheduling. This document has been completed by asking the patients the questions and recording the responses as given.

MEG Staff to complete following questions on arrival to clinic:

This document is to be scanned/uploaded into the patients file. If an additional document is filled in by a parent/carer or interpreter it will also be scanned in the attending patients file