Have you been diagnosed with or cared for someone diagnosed with COVID-19 in the past two weeks.

Have you shown symptoms of COVID-19 or come in close contact with anyone exhibiting these symptoms in the past two weeks.

Have you traveled outside of your immediate daily routine in the past two weeks.

Have you attended any of the local hotspots identified by NSW Health?

Have you traveled interstate or oversea's in the past two weeks?

Do you have a cough, fever, chills, shortness of breath or loss of taste or smell.

Do you agree to contact Kairos Care and Support Services, if you begin experiencing COVID-19 symptoms within the next two weeks?

Do you agree to follow all clinic rules to keep yourself, Kairos Care and Support Services staff and those around you safe?