Weight Monitoring

Weight

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.

First Name *

SECOND NAME *

DATE OF BIRTH *

EMAIL ADDRESS *

HOW WOULD YOU LIKE TO ENTER YOUR WEIGHT ? *

Please enter your weight *

HOW WOULD YOU LIKE TO ENTER YOUR HEIGHT ? *

PLEASE ENTER YOUR HEIGHT *

PLEASE ENTER YOUR ETHNICITY *

BMI

Would you like to calculate your Body Mass Index (BMI) ? Click on:

NHS BMI Calculator

Weight Loss Support:

The best way to lose weight if you are overwight or obese is through a combination of diet and exercise.

If your BMI is over 30 we can refer you to an appropriate service who will consider you for weight management support.

If you would like to discuss this further then please use our eConsult service to request an appointment with a Clinician.

Are you interested in being referred for weight loss support, and if so do you give permission for us to refer you ?

Privacy:

THIS FORM COLLECTS YOUR NAME, DATE OF BIRTH, EMAIL, OTHER PERSONAL INFORMATION AND MEDICAL DETAILS. THIS IS TO CONFIRM YOU ARE REGISTERED WITH THE PRACTICE, TO ALLOW THE PRACTICE TEAM TO CONTACT YOU AND ALSO TO UPDATE YOUR MEDICAL RECORDS HELD BY THE PRACTICE AND OUR PARTNERS IN THE NHS. PLEASE READ OUR PRIVACY POLICY TO DISCOVER HOW WE PROTECT AND MANAGE YOUR SUBMITTED DATA.

Consent: *

I consent to the practice collecting and storing my data from this form.

This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Page last reviewed: 15 December 2025

Weight Monitoring

Weight Monitoring

Further Information