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I understand additional charges apply for home visits, which are generally reserved for NDIS/LSA clients.Â
Your contact details
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I prefer to be contacted via:
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Who are you requesting this appointment for?
Their full name
What is your relationship to them?
Date of birth
Sex
Gender identity:
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It is important the dietitian is
Female
Male
Has experience with gender diverse individuals
LGBTQIA+ affirming
Neurodivergent
They have the following health condition/s:
ADHD
Autism
Brain injury
Diabetes
Huntington's disease
Intellectual disability
Motor neurone disease
Multiple sclerosis
Neurological disability
Parkinson's disease
Physical disability
Psychosocial disability
Spinal cord injury
Stroke
We seek dietitian support for
Body image concerns
Breastfeeding
Cardiovascular disease
Constipation
Dysphagia
Eating disorder
Food allergies
Food intolerances
Fussy/picky eating
Gastrointestinal conditions
Introducing solids
Malnutrition
Meal planning
Menu planning
Older adults (65+)
Osteoporosis
POTS
Pregnancy
Pressure injuries
Tube feeding
Vegan diet
Vegetarian diet
Weight concerns
Other details we would like to share prior to the appointment
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