Date of Birth - This is to determine vulnerability by age group. Input is minimum restricted. Select Year then Month then Day
Have you downloaded the Covid-19 app to your phone?
Have you had the 2020 flu shot?
Please be advised that over 70's proceed at their own risk
Can you confirm that you have NOT been in contact or worked with someone infected with Covid-19?
Suspected Contact
Can you confirm that you DO NOT have a chronic illness or immune deficiency?
Do you have a chronic illness or immune deficiency?