Health Declaration & Consent Form
Please fill out the following health declaration and consent form before proceeding for an in-person consultation with Dr (Ayu) Sathyavathi S.
Dr (Ayu) Sathyavathi S. declares to the best of her knowledge that she does not have any symptom nor has she come in contact with anyone who tested positive for COVID-19. If the conditions change, she will inform you of the same. 
© MSA Wellness 2019

MSA Wellness'
Ayurveda Center in Bristol

5 Cranmoor Green, Pilning,

Bristol BS35 4QF, UK

Tel: +447459304066

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© MSA Wellness 2019