This secure online review allows to you submit your weight and height to the practice. This allows us to offer appropriate health interventions including free weight loss programmes. More information is available after you submit.
Please note that the practice will receive your information to calculate your body mass index (BMI). You can also do this yourself using the links after you submit.
Your answers will be attached to your medical record but may not be seen immediately. This system should never be used if you are in need of urgent medical attention. In this event, please contact the appropriate services (999 or 111) or the practice as normal.
If text is too small on your device, turn it sideways. You can also type the link you received into a tablet or computer browser to view on a larger screen
Practice Name - OFFICE USE ONLY
This review is only for patients registered at the practice below. Please do not change under any circumstances
Data Processing Notice
Who is this for?
Please note that anyone under 18 can only have this review completed by a parent or legal guardian on their behalf
I am completing this for myself
I am completing this for my child
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