• 01223353015
  • 123 Milton Road, Cambridge, CB4 1XE

Weight Loss Service Booking & Assessment forms

Weigh Loss Service
Are you currently taking any oral contraceptive?
If you are a female of childbearing age seeking weight loss treatment, it is essential to use effective contraception during the course of your treatment.
Do you have any allergies?
Are you currently taking any medication? (Prescription and/or over the counter)
Are you pregnant or breastfeeding or planning to have a baby?
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Address
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Should we inform your GP about your weigh loss treatment?