Consultation | Curate

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Well done on starting your weight loss journey

We will ask you some quick medical questions
So we can assess your eligibility for the medication

What gender were you at birth?

Male

Female

Other

What is your height and weight?

Height (cm)

Weight (kg)

Switch to imperial (feet, stone)

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What is your height and weight?

Height (feet)

Height (inches)

Weight (stone)

Weight (pounds)

Switch to metric (cm, kg)

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What's your blood pressure?

Normal (Between 90/60 and 120/80)

Low (Less than 90/60)

High (Above 140/90)

I don't know

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When was your blood pressure last checked?

Less than a year ago

More than a year ago

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What's your ethnicity?

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Do you current have or have you had any of the following?

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Do you have, or have you ever had any of the following eating disorders?

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Do you worry that you've lost control over how much you eat?

Yes

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Do you ever make yourself sick when you feel uncomfortably full?

Yes

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Do you feel anxious or worried about food or your weight most of the time?

Yes

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What have you done to try and lose weight?

Changed my diet

Increased the amount of exercise I do

I've done something else

Please tell us what else you've done

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Are you currently taking a weight loss injection?

Yes

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Are you looking to use tablets or an injection?

Tablets

Injections

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Have you used any injections for weight loss before?

Yes, I've used an injection before and been shown how to use it

I've been shown how to use an injection for weight loss, but I've never used it on my own

No, I've never used any weight loss injections before or been shown how to use them

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Which weight loss products are you using at the moment?

Mounjaro

Saxenda

Wegovy/Ozempic

Other

Please tell us which treatment you are currently using.

Which dose did you use?

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Prescription Upload

If you have had a prescription previously for a previous dose or the dosage you intend to order please upload it here. If you have not had a previous prescription please press continue

To avoid delays in receiving your prescription please follow the below:

Previous prescriptions are required if requesting a follow on dose i.e. anything higher than the starting dose
Orders will be placed on-hold without this

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Are you trying to conceive, or are you planning to start a family in the near future?

Yes

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Full Body Image

We need a clothed full body image, please ensure the photo includes your full body head to toe. This enables our medical team to assess your eligability

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Consent

It isn't safe to buy weight loss treatments from more than one provider at a time, and doing so may put your health at risk.

I understand

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Is there anything else you want to add?

This can be anything you want our prescribers to know before prescribing you your medication such as are you currently taking any medications, please list them out.

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Identity Document

IMPORTANT

Please upload a copy of your driving license, passport or any other photo identity document, this must clearly show the photo ID along with name and date of birth.
Please use the same name at checkout as to that on your identity document.
A name mismatch will result in us requesting further information.

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Tell us the details of your GP/Doctors Practice