Covid 19 Consent to Treatment Policy
With regard to the Risk of Transmission of Covid-19
Please read this information on consent, discuss it with me, your therapist, and if you wish to proceed with treatment we will send you the relevant paperwork to sign.
If the treatment is for a child under 16 years, the parent or legal guardian will need to complete and sign a consent form on the child’s behalf.
During these times of uncertainty surrounding the global Covid-19 outbreak and the easing of lockdown, I wish to share this information with you and inform you of the steps I have taken to keep you and the rest of our community safe and healthy as I resume my therapy practice. My clients’ and indeed my own family's health and wellbeing has been and continues to be my number one priority.
I am now taking extra precautions to maintain a healthy and safe environment for giving treatments in line with current advice from the UK Government, Public Health England (PHE) and my Local Health Authority
These include, but are not limited to:
● vetting the suitability for all requests for treatment over the phone, or via Zoom
● taking infrared temperature checks upon arrival (where available)
● the wearing of designated PPE (including a visor and face mask) during the session
● you should wear a face covering as stipulated by the government, unless you are exempt
● sanitizing frequently touched objects, such as treatment tables, door handles, and light switches after each client
● regularly washing and sanitizing my hands with soap and water and/or hand gel and I will ask you to do the same upon entry and exit
● rigorously following the guidelines laid out by the UK Government and my professional body, the Craniosacral Therapy Association (CSTA)
How the Virus spreads.
This virus is currently considered to be very contagious. It is thought to spread mainly from person-to-person through people who are in close contact with one another (within about 2m or 6 feet) or through respiratory droplets produced when an infected person coughs or sneezes. It is now thought that people may be most contagious with coronavirus before and during the first week of COVID-19 symptoms.
Whilst I am taking every further precaution to limit your risk of exposure to coronavirus, I cannot guarantee that there is no risk to you as a result of attending the clinic and/or receiving treatment.
Therefore, I am requesting that any symptomatic clients, or those who have tested positive for coronavirus, follow NHS guidance and stay away from visiting my practice at this time.
Also, any clients attending the practice should sign my consent form to confirm they are not presenting with any of the main symptoms of Covid-19, including:
● a high temperature within the last ten days (feeling hot to touch on your chest and back)
● a new, continuous cough (coughing a lot for more than an hour or 3 or more coughing episodes in 24 hours or a worsening of a pre-existing cough)
● a loss or change to your sense of smell or taste
● or have knowingly been in contact recently (the last ten days) with anyone who has been symptomatic of having Covid-19.
● confirm that they are, to the best of their knowledge, free of the symptoms of Covid-19 and have not recently (within the last ten days) been in contact with anyone that has them.
Likewise, I also confirm that I am free of the symptoms and have not recently (within the last ten days) been in contact with anyone that has had symptoms.
NHS Test and Trace
I am now required by law to collect client contact details (including name, contact number, dates and times of visit) and provide these to the NHS Test and Trace up to 21 days after the treatment, as this could help contain clusters of outbreaks. NHS Test and Trace will ask for these records only where it is necessary, either because someone who has tested positive for COVID-19 has listed my premises as a place they visited recently, or because my premises have been identified as the location of a potential local outbreak of COVID-19.
If I get the call, I am required to disclose anyone I have been with for more than 15 minutes. As a result, depending on the circumstances and length of time that has elapsed, you might be asked to be tested, to take extra care with social distancing or to self-isolate. This is a risk that we would be taking in being in contact for sessions.
The information given will only be used where necessary to stop the spread of Covid-19.
Levels of risk
I believe my practice has a robust risk assessment with enhanced procedures for potential face-to-face contact with most clients who are not at risk if they contract Covid-19. However, for those who are in the ‘at risk’ group (‘high risk: clinically vulnerable’, or ‘moderate risk: clinically vulnerable’)) the threshold for making a decision to provide care is set higher. You are deemed to be ‘at risk’ if you are;
High Risk – clinically extremely vulnerable
- have had an organ transplant
- are having chemotherapy or antibody treatment for cancer including immunotherapy
- are having an intense course of radiotherapy for lung cancer
- are having targeted cancer treatments that can affect the immune system
- have blood or bone marrow cancer
- have had a bone marrow or stem cell transplant in the past 6 months, or are still taking immunosuppressant medication
- have been told by a doctor that they have a severe lung condition
- have a condition that means they have a very high risk of getting infections
- are taking medicine that makes them much more likely to get infections
- have a heart condition and are pregnant
Moderate Risk – clinically vulnerable
- aged 70 +
- non-severe Lung condition (Asthma, COPD, Emphysema or Bronchitis)
- are pregnant
- prone to Infections
- heart disease, diabetes, chronic kidney or liver disease
- neurological conditions (MS, Parkinson's, MND or Cerebral Palsy)
- take medicines that suppress the Immune System
- obese (have a BMI of 40 or more)
You are strongly advised to read and discuss this document carefully with me, your therapist, and then make an informed consent on attending the practice.
You will be asked to sign a consent form for the below before any treatment:
● I have read and understood the foregoing Risk Assessment.
● I confirm, to the best of my knowledge I am free of the symptoms of Covid-19 and have not recently been in contact with anyone who has.
● I understand that there is a risk of transmission of the coronavirus leading to Covid-19 (the disease) as a result of attending this practice and / or receiving treatment
● I understand that my details will be shared with NHS Test and Trace if requested within 21 days of my appointment
● I agree, in the event that I develop symptoms of Covid-19 in the following 5 days after attending this practice, to inform the therapist of my changed status. This is to facilitate tracing anyone else who may have been potentially exposed to the coronavirus. I will only do this with the understanding that the therapist maintains client confidentiality at all times.
● I acknowledge I have discussed, or have been given the opportunity to discuss, with my therapist the nature of the contents of this consent. I have had the opportunity to ask all the questions I wish to at this time and that all my questions were answered to my satisfaction.
● I understand that I can choose to change my appointment to another date without incurring costs.
● I consent to the Craniosacral Therapy treatment offered or recommended to me today by my therapist.