| Case Status | Awaiting Payment |
|---|---|
| Select Practitioner | otikrity@hotmail.com |
| 1. About You | Please ensure all information is accurate and complete to help us personalise your weight loss plan. |
| Email hidden; Javascript is required. | |
| Name | Michael Smith |
| Phone | 07949751224 |
| Address | 79 Bolshaw Road Heald Green SK8 3PD Map It |
| Date of Birth | 03/02/1992 |
| Your BMI | 0 |
| Your BMI | 0 |
| 2. About Your Health | It’s essential that you provide your correct medical history. Honesty is crucial to ensure your safety throughout the programme. |
| 3. About Your Lifestyle | Providing accurate details about your lifestyle helps us tailor a plan that fits your habits and goals. |
| 4) Your Weight Loss Journey | Tell us about your past and current efforts to lose weight so we can better understand your journey and provide the right support. |
| 6) Proof of ID | To complete your application, please upload a clear photo copy of your passport photo page or driving licence. Your full name and date of birth must be clearly visible. This helps us verify your identity and ensure that any treatment provided is safe, appropriate, and legally compliant. |
| Internal use | |
| Clinical Decision | Approved |