Hey Katie 👋 your plan for this morning
Still on:
6:30 am Anna and Pat, 7:45 am Tanya, 10:30 am Postpartum Power, 12:30 pm Helen Trist - Pre Paid 1 Hour Personal Training, 3:00 pm Britt PT, 4:00 pm Jenene
Free to work:
4:00 am–6:30 am · 8:45 am–10:30 am · 12:00 pm–12:30 pm · 1:30 pm–3:00 pm · 8:00 pm–10:00 pm
1:11 AM
Wednesday 19 August
☀️ 14°C
Kirby Barker
kirbylbarker@gmail.com
🩹 📋 From form:
• 41 years old
• MVA 2005 — multiple major trauma to face and legs
• Vaginal delivery with second-degree episiotomy and stitches
• Diastasis recti approximately 1.5cm — cleared by Women's Health Physio Annabelle Butler
• Currently breastfeeding
• Menstrual cycle not yet returned
• History of back pain
• Experiences constipation/difficulty emptying bowels
• 6-week clearance received from GP for exercise
• Working with: Dr Emily Price, Dr Rachel Goodwin, Annabelle Butler (Women's Health Physio)
• Goals: strength training and toning
• Does not consent to photographs for social media
Class enrolments
· 4 classes left this block
Book in (enrol + invoice) →
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Tue 12:30 pm · Saltbush CFLC (5wk from 18 Aug)
Forms & waivers
Send a form — copy the link and text/email it to Kirby:
Postpartum / Perinatal — Pre-Exercise Screening 17 Aug 2026
Name
Kirby Barker
Age
41
Occupation
Teacher
Child's name and age
Tasman Barker, 7 weeks
Email address
kirbylbarker@gmail.com
Emergency Contact — name and number
Angelene Barker, 0408226677
Have you received clearance from a doctor to be involved in an exercise program?
Yes.
Have you ever been diagnosed by a doctor or experienced any of the following?
Bone, muscle or joint problems that you have been advised may be made worse with exercise
If you answered yes to any of the above, please provide detail
MVA 2005 - multiple major trauma to face and legs.
Are you working with any health practitioners? If yes, what is their name and do you give permission for me to contact them?
Dr Emily Price
Dr Rachel Goodwin
Annabelle Butler
Yes, you have permission.
Do you menstruate on a regular basis (outside of pregnancy) and how long is a typical cycle? Any concerns around your menstrual cycle? Do you track your cycle?
Yes, outside of pregnancy I do.
I track my cycle on the Flo app.
How many children/pregnancies have you had? List DOB and type of birth (vaginal, planned c-section, unplanned c-section, D&C)
One baby.
30/6/2026
Vaginal
For your most recent birth, please provide any relevant information (length of labour, pushing phase, tears/episiotomy, assisted delivery, stitches, scar pain/sensation, etc.)
Second degree episiotomy with stitches.
Are you currently breastfeeding?
Yes
Has your menstrual cycle returned?
No
Have you had your 6 week check and received clearance for exercise?
Yes
What is your exercise history? What were you doing previously and what have you done in the last 6 months?
During pregnancy I was walking and doing classes with Katie Pickering.
What are your goals / focus returning to exercise?
To tone up.
Strength training.
Do you have any concerns about exercising / anything important for me to know? (e.g. previous injuries, pain, fatigue)
MVA 2005
Is there anything particular you wish to learn / work with me on?
To tone up.
Strength training.
Have you seen, or do you see, a Women's Health Physio? If yes, what did you go for and what was the result?
Yes, I saw Annabelle Butler last week and was cleared for exercise. Ab separation approximately 1.5cm.
If you are currently seeing a Women's Health Physio, what is their name and do you consent to me making contact with them?
Annabe Butler. Yes.
Do any of the following apply?
I experience constipation or have difficulty emptying bowels
Have you ever experienced back or pelvic pain?
Back pain.
Have you been assessed for Diastasis Recti (abdominal separation)? If so, when and what was the result?
Information above.
How did you hear about us?
Previous classes
Do you agree for photographs to be taken during sessions and used on social media for future promotional literature and/or course content?
No
Invoices
No invoices yet.