Questions marked thus *are mandatory to answer

Appointment Time

Please select the appointment date:

Selected date*

Please note that the appointment slots are there for the purposes of booking only, there is no restriction on the length of visits.

Just a reminder the reception closes at 5 pm, any visits past this time, please ring the intercom to gain access

Please select a tentative appointment time:*

Your Details

Type of Visitor (Select appropriate response)*

                                  


Please type in the name of the person you wish to visit:*

Please type in your name: *

Please type in your telephone number:

Please type in your email address:

Screening Declaration

Do you have any COVID-19 symptoms?*

         

If Yes, access will be denied

Do you live with a person who has tested positive for COVID-19 within the last 14 days?*

         

If Yes, access will be denied

Are you a high-risk contact of a person who tested positive for COVID-19 within the last 14 days?*

         

If Yes, access will be denied

Are you in isolation because you have COVID-19 or you are waiting for results of a COVID-19 test?*

         

If Yes, access will be denied

Have you tested positive for COVID-19 in the last 7 days?*

         

If Yes, access will be denied

Do you live with a person who has COVID-19 symptoms and is currently waiting for results of a COVID-19 test?*

         

If Yes, access will be denied

Have you recovered from COVID-19 in the last week but have ongoing symptoms?*

         

If Yes, access will be denied

If a person answers yes to any of the above questions, they should not enter the facility, unless prior approval from the facility is granted.

When you click the Submit button, if your appointment application is accepted, you will be presented with the confirmation page. Please follow the instructions on that page to proceed with the appointment.

If the confirmation page does not present itself, your application has not been accepted. If that happens, please complete a new application.

Please click the check box to acknowledge the information you are submitting is truthful and accurate*


Please type in this number captcha to prove you are not a robot *