Weight loss Assessment
Eligibility Assessment
Patient Questionnaire & Consent
Do you agree and consent to the following?
- The information you provide is accurate and truthful to the best of your knowledge.
- You will share details about any medical conditions, past surgeries, or prescription medications you are currently taking.
- You agree to use only one weight loss treatment at a time.
- You will read the patient information leaflet provided.
- You are over 18 years old.
- You will be the sole user of any medication provided.
- You confirm all answers are truthful.
- You will contact us and your GP if you experience side effects.