Weight management


Before we are able to prescribe any medications to begin your weight loss treatment we are going to ask you some questions to ensure it is safe and appropriate for us to issue a prescription. A prescribing clinician will then authorise the treatment reviews the answers to these questions. Before proceeding to the questions please tick the boxes below to consent the following

  • You are happy to undertake a weight management scheme to run alongside a calorie controlled diet and exercise

  • You will only use the treatment prescribed

  • You will alert use to any prescription medications you are taking

  • You will only use one weight management treatment at any time

  • You are sensitive to any of the medications or ingredients

  • You agree to the terms and conditions

Start Consultation
How old are you?
Is your BMI greater than 30? Or alternatively greater than 27 with a diagnosed condition that is made worse by weight gain such as a heart condition?
Are you currently receiving any treatments called GLP1-RA such as saxenda? You can find this out from your GP
Do you suffer from any of the following health conditions
Are you currently taking any of the following medications?
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Full Name
Date of Birth
Email Address
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