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Covid-19 Screening Form

Please complete Within 24hrs of your Appointment

Did you have any of the following symptoms (and are they out of the ordinary for you) in the past 14 days? if you answer "yes" to any of the questions, we will have to postpone your appointment, please call your GP and contact us to let us know.
Have you been diagnosed with confirmed or suspected Covid-19 infection in the last 14 days?

If you are a close contact yet have received a COVID-19 vaccine. You do not need to restrict your movements or be tested for COVID-19 if it is more than:

  • 7 days after your 2nd Pfizer-BioNTech dose

  • 14 days after your 2nd Moderna dose

  • 14 days after the Janssen vaccine

  • 15 days after your 2nd AstraZeneca dose

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These conditions vary if you have been in close contact with someone in your household (see below).

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Rules for Fully Vaccinated Household Contacts ie.

  • Anyone who lives or sleeps in the same home 

  • People sharing living accommodation (a kitchen or bathroom)

  • Sexual partners

The Rules​ If Someone In Your Household Tests Positive

  • Stay at home for 5 days, contact HSE and await a text message

  • Do 3 antigen tests with 2 days in between each test

Have you been a household close contact of a person who is a confirmed case of Covid-19
Have you been advised by a doctor to self-isolate or cocoon in the last 14 days?

If you answered yes to any of the above questions please contact us to rearrange your appointment.
Thank you for your time, keeping Ireland safe.

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