1. About your Health

Your BMI must be over 30 to qualify, or between 27-30 with at least one weight related comorbidity such as pre-diabetes, diabetes, hypertension, dyslipideamia or obstructive sleep apnoea.

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By clicking start now you agree to our Privacy Policy and confirm that you are over 18 years of age.

What is your goal weight in the next 4 weeks and how are you planning on achieving this?

e.g. diet, exercise, nutrition plans etc

Upload a full-body photo (face visible, holding today’s date)

Please upload a clear full-body image of yourself — either in a mirror or taken by someone else — showing your face and holding a paper with today’s date. All photos are secure, confidential, and seen only by our clinical team. If for religious or personal reasons you prefer not to show your face, please let us know, and we can arrange a video call with a female team member. Missing or unclear photos may delay your order. Please see Tooltip for an example image.

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Only images are accepted.

What is your ethnicity?

Is your blood pressure Low, Normal or High?

Use the following as a guide: Low = Under 90/60, Normal = Between 90/60 and 140/90, High = Over 140/90

Do you suffer from any allergies?

If you do, kindly explain them below

Do you currently take any medication or have you recently finished a course of medication?

Please list all your current prescription medication, including any medication you buy over the counter.

Do you have, or have you ever had, any of the following medical conditions?

Do you have a medical condition or take medication that may contribute to your weight gain?

Examples include growth hormone deficiency, polycystic ovary syndrome, Cushing's syndrome, hypothyroidism, hypothalamic damage (e.g. tumour, trauma, or surgery)

Have you had surgery (an operation) in the last 6 months?

And do you have any planned in the near future?
 

2. About your Weight Loss

Have you previously been on a course of any prescription treatments, such as:

  • Ozempic
  • Wegovy
  • Mounjaro
  • Orlistat
  • Xenical
  • Saxenda

Are you currently on a course of any prescription weight loss treatments?

If yes, please upload an image of the box with the medication label on it. If you are not, then you can skip this question and press Continue

Only images are accepted.

Women only: Are you pregnant or breastfeeding?

Is there any chance of you being pregnant? If you are male, simply answer "No".

Have you tried to manage your weight by altering your diet and increasing physical activity?

Can you think of any other health or medical detail not mentioned so far?

3. The Agreement and Consent

  • I declare that I have answered all questions truthfully and to the best of my knowledge.
  • I will read the Patient Information Leaflet before taking any prescribed medication.
  • I will contact The Care Pharmacy and inform my GP if I experience any side effects, start new medication, or if my medical conditions change during treatment.
  • I understand that prescribers take my answers in good faith and base prescribing decisions accordingly, and that incorrect information can be hazardous to my health.
  • I understand that this questionnaire forms part of a request to the prescriber, and that the final decision to prescribe rests with the prescriber.
  • I consent to this consultation being used to assess my suitability for treatment.
  • I understand that my medication may require cold storage and careful handling.
  • I agree to the stated delivery terms and understand that medicines will be dispatched in line with storage and safety requirements.
  • I agree to be contacted for a follow-up video call if required.
  • I understand that I will only be charged if my consultation is approved and a prescription is issued.

By continuing to proceed, you agree to our Terms & Conditions. 

Video Call & Final Confirmation

Before we can approve your first order, a short video call with our pharmacy team is required. You can book this call from your dashboard following checkout, and we’ll also send you an email reminder.

Please confirm you understand that:

  • Your consultation will only be reviewed once all questions are completed and checkout is finished.
  • A video call must be booked for your initial order.
  • If you don’t qualify, you’ll receive a full refund.