Check Your Eligibility for Wegovy & Mounjaro

About You

What is your height? *

cm

ft

in

What is your weight? *

kg

st

lbs

About You

A little more about you

What is your assigned sex at birth? *

Male Female Prefer not to say

Are you currently pregnant, breastfeeding or planning a pregnancy? *

Yes No

What is your ethnicity? *

Medical History

Have you been diagnosed with any of the following conditions?

Tick all that apply

Health Conditions

Do you have a weight related condition?

Tick all that apply

Medications

Are you currently taking any of the following?

Tick all that apply

Insulin Sulfonylureas (e.g. gliclazide) DPP-4 inhibitors (Sitagliptin, Linagliptin, Saxagliptin, Alogliptin) Warfarin or other blood thinners None of the above

Treatment History

Are you currently using a GLP-1 or other weight loss medication?

Yes No

Lifestyle

A few more questions

Do you drink alcohol? *

Yes Occasionally No

Do you smoke? *

Yes No

Do you have any history of mental health conditions such as depression, eating disorders or active substance use? *

Yes No

Are you willing to comply with regular online check-ups to monitor progress and side-effects? *

Yes No

Your Results

Based on what you've answered you may be eligible for the following treatments

Doses available will depend on whether you have used weight loss injections before. Please select the option that applies to you.

Contact Information

Almost there!

Fill in your details and we'll set up your account.

First Name *

Last Name *

Gender *

Email Address *

Date of Birth *

Mobile Phone *

Home Phone

Address Information

Street Address *

City *

Post Code *

Country *

GP Consent

As part of your treatment we request that you provide your GP details. If you choose to share this we will inform your GP about your treatment.

Do you consent? *

Yes No

GP Practice Name *

Practice Address *

GP Contact Number *

Find out your eligibility

What is your height? *

What is your weight? *

A little more about you

Have you been diagnosed with any of the following conditions?

Do you have a weight related condition?

Are you currently taking any of the following?

Are you currently using a GLP-1 or other weight loss medication?

A few more questions

Based on what you've answered you may be eligible for the following treatments

Almost there!

Thanks so much for your interest!

Submitting your application…