Pre-course health declaration

If you are attending an in-person training session, you will be asked to complete this declaration as honestly as possible.

This helps us keep everyone as safe as possible during the pandemic.

Health Declaration

Have you been tested for COVID 19 and that test has been positive? *

Yes

If 'yes,' enter the date when you tested positive:

Do you still have signs and symptoms of COVID-19?

Yes

Are you or anyone in your household currently self-isolating, shielding a vulnerable person or living with someone with an underlying health condition? *

Yes

Do you have a new continuous cough? *

Yes

Do you have a temperature above 37.5°C? *

Yes

Are you experiencing or have you recently experienced a loss of taste or smell? *

Yes

Do you have any concerns that you may have Coronavirus COVID 19? *

Yes

Have you complied with the government's guidance regarding social distancing? *

Yes

Have you been in close contact with a Covid-19 patient in the last 14 days *

Yes

Have you received your COVID vaccination?

Do you have any conditions or illnesses that would prevent you from completing practical exercises on your course? Please mention any concerns you may have

I declare that the info I’ve provided is accurate & complete

Your initials

Thanks for submitting!

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IPS Safety Training

Censeo House

6 St Peters Street

St Albans

Hertfordshire, UK

Terms & Conditions

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