• Important
  • Weight loss
  • Consent
Our doctors would now like to check your suitability for this product

How did you hear about us?

Before we can prescribe weight loss injections for you

I understand --We'll need to check your ID and weight
--We check your ID and weight on a video you film for us
--You need to ensure that your name on your ID matches the name on your Patient Record, otherwise your video may not be accepted


You'll need

I understand --A mobile phone with a front and rear camera
--A steady internet connection via 3G, 4G, 5G or WiFi
--Bathroom scales
--A full-length mirror or someone who can film you
--A valid ID - driving licence, passport or national identity card
--Please confirm that you have read and understood this message.


We want to offer you high quality, safe care. To do this we need you to be honest with your answers. Serious clinical errors could occur if you don't give us accurate information. Thank you for using our service.

What is your sex?

What is your date of birth?

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


We want to offer you high quality, safe care. To do this we need you to be honest with your answers. Serious clinical errors could occur if you don't give us accurate information. Thank you for using our service.

I confirm the above Please confirm the following to complete your consultation:

--I have responded honestly and provided complete and accurate information that reflects my up to date medical history and information, so that the Crest Pharmacy Online Doctor clinician can safely assess and advise me.-I fully understand all the questions and information provided. If I am unsure about any aspect of the service I will contact Crest Pharmacy Online Doctor before proceeding.
--I understand the side effects, effectiveness and alternatives to the treatment I am requesting.
--I understand the importance of notifying my GP about medicines and advice I may receive from this service so they can continue to provide safe medical care.
--I understand this consultation will form part of my Online Doctor medical record and will be kept in line with the relevant retention period.
--I have read, understand and agree to the terms and conditions and privacy policy notice


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