{"id":9170,"date":"2019-03-14T14:11:06","date_gmt":"2019-03-14T04:11:06","guid":{"rendered":"https:\/\/metronorth.health.qld.gov.au\/redcliffe\/healthcare-services\/workshop-bump"},"modified":"2026-04-24T15:49:13","modified_gmt":"2026-04-24T05:49:13","slug":"workshop-bump","status":"publish","type":"services","link":"https:\/\/metronorth.health.qld.gov.au\/redcliffe\/healthcare-services\/maternity-services\/workshop-bump","title":{"rendered":"Workshop your baby bump"},"content":{"rendered":"","protected":true},"excerpt":{"rendered":"","protected":true},"featured_media":0,"parent":1787,"menu_order":0,"template":"","categories":[],"tags":[],"class_list":["post-9170","services","type-services","status-publish","post-password-required","hentry"],"acf":{"page_subtitle":"","page_type":"structured","include_in_alphabetical_listing":true,"page_sections":["general_details"],"general_details":[{"what_we_do":"<p><img decoding=\"async\" class=\"img-fluid w-100\" src=\"https:\/\/metronorth.health.qld.gov.au\/rbwh\/wp-content\/uploads\/sites\/2\/2019\/03\/nyb-banner.jpg\" alt=\"Workshop your baby bump\" \/><\/p>\n<h1><\/h1>\n<p>Knowing where to start on your pregnancy journey can be a little overwhelming, so we\u2019re here to make it easier.<\/p>\n<p><em>Nurture Your Bump &#8211; Workshop <\/em>is a Metro North Hospital and Health Service antenatal group education workshop for all Redcliffe mums-to-be &amp; their partners.<\/p>\n<h2>Our workshop<\/h2>\n<p>Our 2 hour workshop will provide you with the building blocks to have a healthy pregnancy and grow a healthy baby. Whether you have questions or simply want to check if you are on the right track \u2013 this program is for you!<\/p>\n<ul>\n<li>Run by our experienced Redcliffe maternity dietitian, topics &amp; questions covered:<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><strong>Nutrition<\/strong>\u2013 how much more of which foods do I really need?<\/li>\n<li><strong>Supplements <\/strong>\u2013 do I need them &amp; what is the best brand?<\/li>\n<li><strong>Keeping active<\/strong> \u2013 what exercise is safe &amp; how much?<\/li>\n<li><strong>Food safety <\/strong>\u2013 what foods do I need to avoid &amp; what is the risk?<\/li>\n<li><strong>Breastfeeding<\/strong> \u2013 do I need to eat or drink more?<\/li>\n<li><strong>Symptom management &amp; weight gain<\/strong> \u2013 remedies &amp; recommendations <strong>\u00a0<\/strong><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Receive our pregnancy guide &amp; workbook, which includes goal setting and helpful lifestyle tracking tools.<\/li>\n<\/ul>\n<h2>Register for the Nurture Your Bump Workshop<\/h2>\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_8'  action='\/redcliffe\/wp-json\/wp\/v2\/healthcare-services\/9170#gf_8' data-formid='8' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_8_38\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you a patient or health professional?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_38'>\n\t\t\t<div class='gchoice gchoice_8_38_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Patient'  id='choice_8_38_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_38_0' id='label_8_38_0' class='gform-field-label gform-field-label--type-inline'>Patient<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_38_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Health Professional'  id='choice_8_38_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_38_1' id='label_8_38_1' class='gform-field-label gform-field-label--type-inline'>Health Professional<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_8_26\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Are you having your baby at Redcliffe Hospital?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_26'>\n\t\t\t<div class='gchoice gchoice_8_26_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='Yes'  id='choice_8_26_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_26_0' id='label_8_26_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_26_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='No'  id='choice_8_26_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_26_1' id='label_8_26_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_8_66\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Unfortunately, this service is only available to women who are having their baby at the Redcliffe Hospital.<\/div><fieldset id=\"field_8_70\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you have a Medicare card?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_70'>\n\t\t\t<div class='gchoice gchoice_8_70_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='Yes'  id='choice_8_70_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_70_0' id='label_8_70_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_70_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_70' type='radio' value='No'  id='choice_8_70_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_70_1' id='label_8_70_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_8_71\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Unfortunately you do not meet eligibility criteria for this workshop. Please contact MOPD for further information on 3883 7602.<\/div><div id=\"field_8_53\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Health professional Information<\/h3><\/div><fieldset id=\"field_8_39\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Will your patient deliver their baby at Redcliffe Hospital?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_39'>\n\t\t\t<div class='gchoice gchoice_8_39_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='Yes'  id='choice_8_39_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_39_0' id='label_8_39_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_39_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='No'  id='choice_8_39_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_39_1' id='label_8_39_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_8_35\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Unfortunately, this service is only available to women who are having their baby at Redcliffe Hospital.<\/div><fieldset id=\"field_8_72\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Does your patient have a Medicare card?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_72'>\n\t\t\t<div class='gchoice gchoice_8_72_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='Yes'  id='choice_8_72_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_72_0' id='label_8_72_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_72_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_72' type='radio' value='No'  id='choice_8_72_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_72_1' id='label_8_72_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_8_73\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Unfortunately your patient does not meet the eligibility criteria for this workshop. Please contact MOPD for further information on 3883 7602<\/div><fieldset id=\"field_8_41\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Has your patient consented to this program referral?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_41'>\n\t\t\t<div class='gchoice gchoice_8_41_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Yes'  id='choice_8_41_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_41_0' id='label_8_41_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_41_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='No'  id='choice_8_41_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_41_1' id='label_8_41_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_8_42\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Your patient must consent before completing a referral on their behalf<\/div><fieldset id=\"field_8_67\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Referrer name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_67'>\n                            \n                            <span id='input_8_67_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_67.3' id='input_8_67_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_67_3' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_8_67_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_67.6' id='input_8_67_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_67_6' class='gform-field-label gform-field-label--type-sub '>Last Name<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_8_43\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_43'>Designation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_8_43' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_8_45\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_45'>Referrer contact number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_8_45' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_8_49\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Patient Information<\/h3><\/div><fieldset id=\"field_8_13\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Maternity care<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_8_13'>View more information about which <a href=\"https:\/\/metronorth.health.qld.gov.au\/rbwh\/healthcare-services\/maternity-services\/choosing-an-option-for-maternity-care\" target=\"_blank\">maternity care option<\/a> suits you.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_8_13'><div class='gchoice gchoice_8_13_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.1' type='checkbox'  value='Midwives Clinic'  id='choice_8_13_1'   aria-describedby=\"gfield_description_8_13\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_8_13_1' id='label_8_13_1' class='gform-field-label gform-field-label--type-inline'>Midwives Clinic<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_13_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.2' type='checkbox'  value='Midwifery Group Practice'  id='choice_8_13_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_13_2' id='label_8_13_2' class='gform-field-label gform-field-label--type-inline'>Midwifery Group Practice<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_13_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.3' type='checkbox'  value='Private Practice Midwives'  id='choice_8_13_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_13_3' id='label_8_13_3' class='gform-field-label gform-field-label--type-inline'>Private Practice Midwives<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_13_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.4' type='checkbox'  value='Aboriginal and Torres Strait Islander Maternity Service \u2013 Ngarrama'  id='choice_8_13_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_13_4' id='label_8_13_4' class='gform-field-label gform-field-label--type-inline'>Aboriginal and Torres Strait Islander Maternity Service \u2013 Ngarrama<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_13_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.5' type='checkbox'  value='Young Parent Group'  id='choice_8_13_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_13_5' id='label_8_13_5' class='gform-field-label gform-field-label--type-inline'>Young Parent Group<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_13_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.6' type='checkbox'  value='Obstetric led care with Doctors and Midwives'  id='choice_8_13_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_13_6' id='label_8_13_6' class='gform-field-label gform-field-label--type-inline'>Obstetric led care with Doctors and Midwives<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_13_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.7' type='checkbox'  value='GP Shared Care'  id='choice_8_13_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_13_7' id='label_8_13_7' class='gform-field-label gform-field-label--type-inline'>GP Shared Care<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_8_13_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.8' type='checkbox'  value='Unsure'  id='choice_8_13_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_13_8' id='label_8_13_8' class='gform-field-label gform-field-label--type-inline'>Unsure<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_8_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_1'>\n                            \n                            <span id='input_8_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_8_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_1_3' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_8_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_8_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_8_1_6' class='gform-field-label gform-field-label--type-sub '>Last Name<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_8_5\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_5'>Date of birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_5' id='input_8_5' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_8_5_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_8_5_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_8_5' class='gform_hidden' value='https:\/\/metronorth.health.qld.gov.au\/redcliffe\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_8_2\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_8_2' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_8_2_1_container' >\n                                        <input type='text' name='input_2.1' id='input_8_2_1' value=''    aria-required='true'    \/>\n                                        <label for='input_8_2_1' id='input_8_2_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_8_2_3_container' >\n                                    <input type='text' name='input_2.3' id='input_8_2_3' value=''    aria-required='true'    \/>\n                                    <label for='input_8_2_3' id='input_8_2_3_label' class='gform-field-label gform-field-label--type-sub '>Suburb<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_8_2_4_container' >\n                                        <input type='text' name='input_2.4' id='input_8_2_4' value=''      aria-required='true'    \/>\n                                        <label for='input_8_2_4' id='input_8_2_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_8_2_5_container' >\n                                    <input type='text' name='input_2.5' id='input_8_2_5' value=''    aria-required='true'    \/>\n                                    <label for='input_8_2_5' id='input_8_2_5_label' class='gform-field-label gform-field-label--type-sub '>Post code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_2.6' id='input_8_2_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_8_4\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_4'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_8_4' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_8_3\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_3'>Mobile<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_8_3' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_8_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_19'>How many weeks are you currently pregnant?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_8_19' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_8_59\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_59'>How many weeks is your patient currently pregnant?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_8_59' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_8_11\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do they have any other children?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_11'>\n\t\t\t<div class='gchoice gchoice_8_11_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='No'  id='choice_8_11_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_11_0' id='label_8_11_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_11_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Yes'  id='choice_8_11_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_11_1' id='label_8_11_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_8_69\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you have any other children?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_69'>\n\t\t\t<div class='gchoice gchoice_8_69_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='No'  id='choice_8_69_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_69_0' id='label_8_69_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_69_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_69' type='radio' value='Yes'  id='choice_8_69_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_69_1' id='label_8_69_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_8_58\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_58'>How many?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_58' id='input_8_58' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_8_57\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Book your workshop<\/h3><\/div><div id=\"field_8_29\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>We run virtual (telehealth) workshops from Redcliffe Hospital on the 3rd Friday of every month. You will receive a text message confirmation when your Nurture your Bump workshop is booked, and you will be required to confirm your attendance. You will also receive an email before with information on how to join the virtual group within one week of your appointment.<\/p?<\/div><div id=\"field_8_62\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_62'>Select your preference<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_62' id='input_8_62' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value=''  class='gf_placeholder'>- Please select -<\/option><option value='Friday 15\/05\/2026' >Friday 15\/05\/2026<\/option><option value='Friday 19\/06\/2026' >Friday 19\/06\/2026<\/option><option value='Friday 17\/07\/2026' >Friday 17\/07\/2026<\/option><option value='Friday 21\/08\/2026' >Friday 21\/08\/2026<\/option><option value='Friday 16\/10\/2026' >Friday 16\/10\/2026<\/option><option value='Friday 20\/11\/2026' >Friday 20\/11\/2026<\/option><\/select><\/div><\/div><div id=\"field_8_63\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_8_63'>Preference Two<\/label><div class='ginput_container ginput_container_select'><select name='input_63' id='input_8_63' class='large gfield_select'     aria-invalid=\"false\" ><option value='- Please select -' >- Please select -<\/option><option value='04\/08\/2020 Royal Brisbane and Women\u2019s Hospital (Tuesday 5.45-7.30pm)' >04\/08\/2020 Royal Brisbane and Women\u2019s Hospital (Tuesday 5.45-7.30pm)<\/option><option value='01\/09\/2020 Royal Brisbane and Women\u2019s Hospital (Tuesday 5.45-7.30pm)' >01\/09\/2020 Royal Brisbane and Women\u2019s Hospital (Tuesday 5.45-7.30pm)<\/option><option value='06\/10\/2020 Royal Brisbane and Women\u2019s Hospital (Tuesday 5.45-7.30pm)' >06\/10\/2020 Royal Brisbane and Women\u2019s Hospital (Tuesday 5.45-7.30pm)<\/option><option value='03\/11\/2020 Royal Brisbane and Women\u2019s Hospital (Tuesday 5.45-7.30pm)' >03\/11\/2020 Royal Brisbane and Women\u2019s Hospital (Tuesday 5.45-7.30pm)<\/option><option value='01\/12\/2020 Royal Brisbane and Women\u2019s Hospital (Tuesday 5.45-7.30pm)' >01\/12\/2020 Royal Brisbane and Women\u2019s Hospital (Tuesday 5.45-7.30pm)<\/option><\/select><\/div><\/div><div id=\"field_8_64\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_8_64'>Preference Three<\/label><div class='ginput_container ginput_container_select'><select name='input_64' id='input_8_64' class='large gfield_select'     aria-invalid=\"false\" ><option value='- Please select -' >- Please select -<\/option><option value='04\/08\/2020 Royal Brisbane and Women\u2019s Hospital (Tuesday 5.45-7.30pm)' >04\/08\/2020 Royal Brisbane and Women\u2019s Hospital (Tuesday 5.45-7.30pm)<\/option><option value='01\/09\/2020 Royal Brisbane and Women\u2019s Hospital (Tuesday 5.45-7.30pm)' >01\/09\/2020 Royal Brisbane and Women\u2019s Hospital (Tuesday 5.45-7.30pm)<\/option><option value='06\/10\/2020 Royal Brisbane and Women\u2019s Hospital (Tuesday 5.45-7.30pm)' >06\/10\/2020 Royal Brisbane and Women\u2019s Hospital (Tuesday 5.45-7.30pm)<\/option><option value='03\/11\/2020 Royal Brisbane and Women\u2019s Hospital (Tuesday 5.45-7.30pm)' >03\/11\/2020 Royal Brisbane and Women\u2019s Hospital (Tuesday 5.45-7.30pm)<\/option><option value='01\/12\/2020 Royal Brisbane and Women\u2019s Hospital (Tuesday 5.45-7.30pm)' >01\/12\/2020 Royal Brisbane and Women\u2019s Hospital (Tuesday 5.45-7.30pm)<\/option><\/select><\/div><\/div><div id=\"field_8_65\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_65'>How did you hear about the workshop?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_65' id='input_8_65' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_8_23\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p><strong>Information disclaimer and consent<\/strong><\/p>\n<p>While Queensland Health endeavours to ensure that the online transmission of the form, containing your information, over the internet is secure, the inherent nature of the internet means that there is a potential risk that your information may be viewed or intercepted by third parties.<\/p>\n<p>Accordingly, submission through the online form shall be at your own risk and Queensland Health accepts no responsibility or liability for any unauthorised access to your information contained in the form when it is submitted online over the internet.<\/p>\n<p>It is inadvisable to complete this form on a public or shared computer. If a public or shared computer is used then this shall be at your own risk, and you must take all reasonable steps to ensure your confidential information does not remain on the computer or in any way accessible by a third party.<\/p>\n<p>Individuals who submit the form online should receive an acknowledgement from Queensland Health that the Form has been sent, on the screen, following submission. 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