Check whether treatment may be suitable

First name *

Last name *

Email address *

Mobile number (optional) Date of birth *

Gender *

Ethnicity (optional)

Your privacy

Everything you tell us here is kept confidential and used only to assess whether treatment may be suitable for you — see our privacy policy. A member of our clinical team will review your answers and reply within one working day.

This form is not for urgent or emergency needs — if you need urgent medical help, call 999 or go to A&E. For anything else, contact us at newpatients@theslimmingdoctor.com or +44 330 043 5958.

Height & weight

Height units

Weight units

Height (cm) *

e.g. 170

Weight (kg) *

e.g. 82

BMI is an estimate used as one part of your clinical assessment.

Health background

These questions help our clinical team decide which follow-up questions are relevant to you.

Do any of the following apply to you? (tick all that apply)

Type 2 Diabetes or Prediabetes Hypertension (High Blood Pressure) Cardiovascular disease (such as heart attack, angina, or stroke) Dyslipidaemia (High Cholesterol) Obstructive Sleep Apnoea None of these

Are you currently pregnant or trying to conceive? *

No Yes

Are you currently taking, or have you previously taken, any GLP-1 medication (e.g. Mounjaro, Ozempic or Wegovy)? *

No Yes

Anything else you'd like us to know? (optional) Where did you hear about us? (optional)

By sending this enquiry you agree to us storing these details so our clinical team can review them and contact you about our weight-loss programme.

Check whether treatment may be suitable

What happens next

Your privacy

Height & weight

Health background

Thanks — we've got your enquiry