Loughborough Therapy Clinic
01509 844044
​07960383106
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Downloadable Covid-19 Client Form
Please print this form and bring it with you to your appointment if possible,
All forms will be destroyed after 21 days.
This is a Government Requirement to help with track and trace, if you cannot fill the form in prior to your appointment we will give you one as you come in for your appointment. 


​covid_uk_client_form.pdf

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Loughborough Therapy Clinic

At Viziare Hair & Beauty
Gorse Covert Centre
Maxwell Drive
Loughborough
​LE11 4RZ
TELEPHONE - 01509 844044
07960383106