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Any forms that will need to be completed prior to your initial evaluation can be found on this page.


All new clients should fill out the Patient History form and also the Consent to Treatment form.


Kate will let you know which other forms she needs from you upon discussion / scheduling of your consultation.

New Client Required Forms​

Patient History Form (PDF)

Consent To Treat Form (PDF)

Other Forms​

Pelvic Floor Questionaire (PDF)


PUF Scale (PDF)

Chronic Pain / Prostatitis Index (PDF)


Bowel Diary (PDF)

Bladder Diary (PDF)

Patient Functional Self Assessment (PDF)

Beliefs Questionaire (PDF)

Queensland Female PF Questionaire (PDF)

Insurance Benefits Worksheet (PDF)

Low Back Pain Form (PDF)

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