Treatment Consent Form
1. Are you suffering from any cold, flu or virus symptoms?(also applicable at the time of your appointment)
2. Do you have an auto-immune disorder?
3. Do you have any type of physical injury or have you had a recent surgery (within last 6months) or scar tissue??
4. Are you suffering from any of the following ? Please tick the box which is applicable.
5. Females only :
6. Are you suffering from any of the following? Please tick which box is applicable.

(If you have answered "Yes" to any of the above, we may require to contact you for further details). 

You will not be accepted into the clinic without having competed this online form.  If you experience any problem in completing this form, please telephone us 24 hours prior to your appointment so that we can go through the form details with you.

The clinic and therapy centre will open subject to a new operating legislation and conformity within government guidelines. AyurCare UK has completed the Covid-19 Clinical Safety Course accredited by the International School of Aesthetics.  Staff will adhere to the working standards as required.  This includes, stricter hygiene standards and cleaning regime, the wearing of face covering for staff/therapists etc.  Upon entering reception your temperature will be taken. 

We will request clients to remain outside of the clinic until they are called in for their appointment. Please help us enable these new measures and bear with us as there may be some time delays in between appointments due to longer time for disinfection of work surfaces, equipment etc.

You will be required to complete and submit an online Treatment form 24 hours before your appointment.  This form is required for all appointments including consultations.

Please refrain from visiting the clinic if you or a household member have a fever, COVID-19 symptoms or a communicable illness.

Do NOT come to the clinic if you are feeling unwell or exhibit symptoms of COVID-19, including:

  • A persistent, dry cough

  • Shortness of breath or difficulty breathing

  • A fever of 100.4° or higher

  • Chills

  • Muscle pain

  • Sore throat

  • New loss of taste or smell

⦁    Refrain from visiting the clinic if you are under an isolation or quarantine order/directive.
⦁    Respect the spa’s sanitation and hygiene standards and processes posted within the clinic and shared by employees.


Copyright © 2018 AyurCare UK - All Rights Reserved.


17 Park Street

Camberley, Surrey

GU15 3PQ, United Kingdom


Monday - Sunday 10.00am - 8.00pm


Phone: 01276 942 010

07526 717409


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Copyright © 2019 All Rights Reserved by AyurCare UK