Visitor Form

Business Critical Visitor Questionnaire

re COVID-19

To ensure the Safety & Health of all people interacting with Merrion Fertility Clinic (MFC), visitors and contractors must complete this declaration form prior to entering our clinic. If you indicate to us you have symptoms of COVID-19, you should not be at work. Where this is the case, you are prohibited from entering our clinic and are advised to seek professional medical help/assistance.

If the answer to any of the questions is YES, further information will be requested by the department manager to whom you are visiting. Permission to attend MFC will be granted on the basis of a risk assessment of your situation/responses.

NOTE: You may be required to have your temperature checked upon arrival to the clinic. Please limit your movement to areas/departments essential to the purpose of your visit.