Covid-19 Contact Tracing

Health Declaration

Please complete the below form for COVID-19 contact tracing purposes.

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We retain details entered on this form for no more than 20 days to enable contact tracing should there be any occurances of COVID-19 infection. Following this time, your details are automatically deleted.

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We will not use the information on this form to contact you about anything other than

COVID-19 Tracing purposes.

Thanks for submitting!