CLINIC VISIT PROTOCOL

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PREPARING FOR YOUR CLINIC VISIT

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Thank you for booking an appointment with the MACS Clinic. We look forward to welcoming you.  At MACS Clinic we understand that our patients want to get the most out of their consultation, as well as have a safe and comfortable experience here.  Therefore, to help you prepare for your appointment, we would like to advise you that your visit will involve the following: 

• Providing registration information to our administrative team (your full name, date of birth, address, GP details, phone, and email)
• Undergoing a Photo ID Check, so please bring formal photographic identification.
• Completing a Covid-19 pre-screening questionnaire and undergoing a temperature check.
• Undergoing a height and weight check, with a staff member. You will need to remove your shoes.
• Completing a pre-assessment medical history questionnaire, so we can hand details of any significant accidents, surgeries and medical diagnoses, as well as the names and dosages of any medication that you are currently prescribed or taking.
• Completing a psychological questionnaire, so we can hand details of any relevant diagnoses, as well as the names and dosages of any medication that you are currently prescribed or taking.
• Attending a consultation with Mr Vadodaria.  This will involve you discussing your clinical/aesthetic concerns with Mr Vadodaria, and some patients find it helpful to bring a list of concerns/questions to make sure everything is covered.  It will also involve Mr Vadodaria explaining to you his clinical opinion and your potential options for treatments.
• Being examined by Mr Vadodaria in the presence of a chaperone.  Depending on the area of the body you are concerned about, you may need to remove your clothing for the examination.  The chaperone will take you to a separate changing room and you will be provided with a clinic gown for your comfort and dignity. The chaperone will remain with you during the examination.
• Clinical photographs will need to be taken of the relevant area of your face/body, for your medical records.  You will be asked to sign a form to confirm consent to taking the photographs.
• Being given information and advice to assist you in deciding whether to give informed consent to the procedure in due course.  If you want to go ahead with a procedure you may be asked to sign a Consent Form at the time of the consultation, but you can change your mind at any time before the procedure takes place and you will be asked to reconfirm your consent immediately before any procedure is carried out.
• Being asked to provide your feedback about your visit

If you have any comments or concerns about any of these aspects of your forthcoming consultation, please do not hesitate to call us to discuss in advance of your appointment. Please sign and date below to let us know that you have received and understood this information.

CONSENT COVID-19

(For Patients Undertaking Procedure at MACS CLINIC) ________________________________________________________________________________

I have been informed to take an RT-PCR COVID test and then self-isolate for a total period of 72 hours before the day of my operation. I confirm that I have self-isolated and adhere to government guidance of social distancing for the period of 72 hours. Before the date of my operation. I will also self-isolate adhere to the government guidance of self-isolating and will keep social distancing for a period of two week after the date of operation. I understand the COVID-19 related consequences and will be responsible for the same

Signature:           ........................................                           Signature:           ......................................

Date:                     ........................................                           Date:                     ......................................

Patient Name:   [PatientFirstname] [PatientLastname]  Consultant:        …………………………………….