Weight Management

This medical assessment helps us understand your health and weight-loss goals. A qualified clinician will review your information and advise on suitable weight-management treatment.

Thank you — your assessment has been received.

A qualified clinician will now review your information. If treatment is suitable, we’ll contact you with next steps. If not, we’ll explain why and guide you to the most appropriate alternative.
Which best applies to you?(required)
Have you ever been diagnosed with any of the following?(required)
Do you have any other medical conditions?(required)
Are you currently pregnant, trying to conceive, or breastfeeding?(required)
Are you currently taking any regular medications (including over-the-counter or supplements)?(required)
Do you have any medication allergies or adverse reactions?(required)
Have you used weight-loss injections before?(required)
Have you experienced any of the following recently?(required)
Which best describes your current situation?(required)
How would you describe your activity level?(required)
Which statement best reflects your understanding?(required)
Please read and confirm:(required)

By submitting this form, I confirm I have read and agreed to all of the above.