COVID-19 Form | Luxe Retreat

My body temperature is lower than 98.6°F/ 37.5°C

I am NOT experiencing COVID-19 symptoms: fever, cough, loss of smell, change in taste etc.

I have NOT been in close contact with a Covid-19 patient in the last 14 days

I declare that the information I have provided is accurate and I am aware I will be required to rearrange my appointment if I am unable to complete the above declaration.

Covid-19 Health Declaration

* This form is only valid for up to 48hours before your appointment.