COVID-19 Health Declaration Form

Psychology Blossom seeks your co-operation to complete the following form to facilitate contact tracing, if and when necessary, given the ongoing Covid-19 pandemic.

Please note that any person returning a temperature reading at or above 37.5°C or has answered "Yes" to the questions above will not be allowed to enter the clinic. This is for the health and safety of all occupants of the building.

By providing personal data through this declaration form, you authorise us to collect, use, process and disclose personal data provided for the purpose of verifying your identity, screening your health status and maintaining records of visitors to Psychology Blossom for contact tracing purposes, to ensure our safety and security. Thank you for doing your part in keeping Singapore safe.


About Us

We are a team comprising psychologists based in Singapore endeavouring our best to prioritise our clients’ needs. When you embark on this journey with us, we take a collaborative approach where you and your psychologist work closely together, and listen to what you have to say — No judgments, and in a safe space.

Contact Us

150 Cecil Street #07-02 S069543

+65 8800 0554

Opening Hours

Monday to Friday: 8am to 6pm
Saturday: 8am to 2pm
Sunday: 10am to 2pm (Online only)

Admin Hours

Monday to Friday: 8am to 5.30pm

Saturday: 8am to 2pm

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