Apply for a Grant or Equipment for a child

 

Information provided as part of an application will be held in strict confidence. No details will be made public without prior authorisation from a parent or guardian.


CHOOSE...

I am a parent / guardian

Fill out your details below. We will contact your Bowen Therapist who will progress your application

Please enter your full name

Please enter your best contact number

Please enter your postal address details

Please enter the child's full name

Please enter the child's date of birth

Please enter the full name of the Bowen Therapist treating your child

Telephone number of your child's Bowen Therapist

Email address of your child's Bowen Therapist (if known)

We may ask for more information later, but please tell us as much as possible now.

I am a Bowen Therapist

Fill out all the details below. We will be in touch soon to discuss your application.

Full name of parent/guardian

Contact details for the child's parent or guardian

Postal address for the child's parent or guardian (if known)

Please enter the child's full name

Please enter the child's date of birth

Please enter your full name

Please enter your best contact telephone number(s)

Please enter your telephone number and/or email address

Please enter the date when Bowen Therapy was started

We may ask for more information later, but please tell us as much as possible now.

If the child has had a professional or medical diagnosis please supply details.

I have professional/medical evidence to support this application.
I have identified the cost of the equipment requested.