Covid-19 Questionnaire

Covid-19 Questionnaire

Please fill out the Covid-19 form below and press submit. Please fill this online form out 24-48 hours prior to your consultation:

  • If this form does not allow you to progress, please input a symbol at the end of the patients name.
  • Please tick the box to continue:

Clinic locations:

We have several clinical locations and also offer online video consultations. Please see the about us section for further information.  *On-site diagnostic ultrasound is available at Earlsfield and Maidenhead

How to book:

Schedule your consultation online click here:  BOOK ONLINE.  Alternatively, speak to our friendly booking team: 02071646607

Insurance and Fee’s:

We accept most major private medical insurance companies including BUPA, Vitality, WPA, Cigna, AVIVA and Simply Health.  A full list of our consultation fee’s including self-pay can be found here:  Insurance and Fee’s

Covid-19 measures:

South West Podiatry have taken steps to remain open to support our local communities. Further information about the Covid-19 measures can be found here: COVID-19

Booking terms and conditions:

By submitting this form, you agree to South West Podiatry’s booking terms & conditions and consent for South West Podiatry to securely hold your medical record and client details.