Services

Child Seat and Harness Assessment Form

Before filling in the form

Please fill out the form with as much detail as possible. If you have difficulty completing this application form please contact the RDAC for assistance on 0300 300 2240.

When you have completed the online form you can pay using Paypal. (All major credit cards are accepted)

Things you will need to complete this form

  • GP details
  • Medication detail
  • Important – Please make sure you have your credit card to hand before you submit this form.

Unfortunately RDAC are unable to offer the services of an interpreter.

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Consent To Contact Health Professional

Thank you for your enquiry regarding the Child Car Seat Clinic. To enable our Occupational Therapist to know more about your child’s seating needs prior to the assessment, we would like to contact your child’s health professional. We would be grateful if you could fill in the form below giving your consent.