COVID-19 (Coronavirus): Risk of Transmission

Cardiff Sports Orthopaedics have taken precautions to limit your risk of exposure to COVID-19, however we cannot guarantee that there is no risk to you as a result of attending the clinic.

Consent to receive care:

  • I understand that there is a material risk of catching of COVID-19 (which may result in death and/or giving it to others) as a result of attending the clinic and/or receiving treatment. I understand the appointment will require a physical examination from the doctor.

  • I understand that Cardiff Sports Orthopaedics cannot accept responsibility for any transmission of COVID-19.

  • I have had the chance to ask all the questions I wish and have understood all of the answers and the information displayed/available/provided to me.

By signing below, I consent that I have read, agreed to and understood the statements above and consent to receive care.

 

Name:………………………………………………………………………………

 

Signature:…………………………………………………………………………

 

Date:………………………………………………………………………………