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Holistic therapies and training in Coventry

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Energy therapies: Reiki, Crystal Healing and others
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Home
Testimonials
Physical therapies
Energy therapies: Reiki, Crystal Healing and others
Our therapists
Contact Us
Hiring a room at The Amethyst Centre
- Therapists room hire
- Room hire for meetings, workshops or training
Our Rooms
- Facilities at the Centre
Blog
- What else is possible?
Our Ethics and Values Statement
Shop
- Workshops and Courses
- Cart
Readings
Links
Therapist feedback form

Recent Blog Posts

We’ve won an award!
Medium selenite charging plates £10
Sound Healing and Sacred Drumming at the Amethyst Centre
Please welcome Trish Jarvis to our therapists!
Meet Jim, our new massage therapist

Registered with the UK Register of Learning Providers, number 10087123

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COVID-19 Declaration Form

Please complete this form when you book an appointment with Chris.

COVID-19 Declaration

Please complete this form for every appointment with Chris

Name*
First Last
Date
MM slash DD slash YYYY
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Phone*
Email
Enter Email Confirm Email
Have you or anyone in your household ever been diagnosed with Covid-19?*
- Yes
- No
Have you or anyone in your household shown any of the following symptoms in the last 7 days? New dry cough, rash, diarrhoea, shortness of breath*
- Yes
- No
If the answer to this question is yes, then the treatment can not continue until after 2 weeks of isolation with no symptoms in the household and a negative test.
Have you or anyone in your family been advised by the government as being clinically vulnerable and to shield?*
- Yes - me
- Yes - family member
- No
Have you recently travelled abroad?*
- Yes - within the last 7 days
- Yes - over a week ago
- No
Have you noticed any new rashes on your body or feet?*
- Yes
- No
Have you experienced any pain or cramping in your legs/calves?*
- Yes
- No
Do you promise to contact your therapist immediately if you or anyone in your household develops symptoms associated with covid-19 within 7 days of your treatment?*
- Yes
If anything changes between now and your appointment time, do you promise to inform your therapist before your appointment date?*
- Yes
Chris will contact you the day before to see if anything has changed, and you will also be asked these questions when you arrive at the Centre.
Have you been vaccinated against Covid-19?*
- Yes - first dose only
- Yes - two doses
- No
We will not be able to do massage treatments until two weeks after a vaccination. Other treatments can be done after 48 hours.
Name
This field is for validation purposes and should be left unchanged.

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