Case StatusConsultation Complete
Select Practitioneranna@directweightloss.co.uk
1. About YouPlease ensure all information is accurate and complete to help us personalise your weight loss plan.
EmailEmail hidden; Javascript is required.
NameBenedict Fenech
Phone07904878540
AddressParkside Buccleuch Road Hawick
.
Hawick td9 0el
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Your BMI0
Your BMI0
What is your usual blood pressure range?Low - 90/60 or Below
What is your ethnicity?Asian or Asian British - Includes any Asian background, for example, Bangladeshi, Chinese, Indian or Japanese.
2. About Your HealthIt’s essential that you provide your correct medical history. Honesty is crucial to ensure your safety throughout the programme.
3. About Your LifestyleProviding accurate details about your lifestyle helps us tailor a plan that fits your habits and goals.
How many cups of tea or coffee do you drink each day?None
How many glasses of water do you drink each day?None
How many hours of sleep do you get on average each night?Less than 4
How many exercise/activity do you do each week?Very little
4) Your Weight Loss JourneyTell us about your past and current efforts to lose weight so we can better understand your journey and provide the right support.
How many calories do you consume per day?Less than 1000
Patient Signature
6) Proof of IDTo 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 DecisionApproved
Consultation DateTime2026-04-22 12:00

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