Booking Forms

Please complete the following required forms prior to your Red Gate Clinic appointment. 

BOOKING FORMS

Below you will find the required booking forms for you to complete prior to your Red Gate Clinic appointment:

BREASTFEEDING ~ Consent Form
BREASTFEEDING ~ Medical History Form

BOWEN ~ Consent Form
BOWEN ~ Medical History Form

BREASTFEEDING ~ Consent Form

A lactation consult usually includes: * Visual & physical assessment of a mothers breasts and infants mouth * Observation of mother & baby feeding * Demonstration of techniques for improving breastfeeding & sometimes use of breastfeeding equipment

BREASTFEEDING ~Medical History

Ages, duration of feeding, any problems?
Other or medications? Please list.
If Yes, How Much?
Other? Please list

Bowen Therapy Session

Prior to your Bowen Therapy appointment please fill out the below required forms.

Bowen Therapy/Treatment ~ Consent Form

* History and assessment of your current situation * Discussion on appropriate follow up and exercises if necessary *Bowen therapy treatment as discussed
No identifying information will be used.

BOWEN THERAPY/TREATMENT ~ Client Information