Weight Assessment Form - Clinic Follow Up Logo

  • About Your Treatment

  • Medical History

  • About Your Treatment

  • About You

  •  - -

  • Acknowledgement and consent

    Please read about weight loss medication, acknowledge understanding and consent.

  • I understand I should use one weight loss product at a time

    I understand that I will stop treatment and inform Tabi Health and/or seek medical attention if I experience severe dehydration, e.g. dark urine, confusion, blood in stool or vomit, diarrhoea lasting longer than 72 hours, or being unable to keep food down without vomiting/diarrhoea

    I understand that if I experience any troublesome side effects from Wegovy/Mounjaro, I can contact Tabi Health Pharmacy, my GP, or another healthcare professional for advice. I confirm that I will read about the side effects in the Patient Information Leaflet.

    The medical information I have provided is true and accurate to the best of my knowledge, and I consent to the medicine being administered.

    I agree to inform my GP of any change to my health as soon as possible, as I understand this could impact the suitability of the medication I am being prescribed.

    I understand that my personal information, including name, surname, email, telephone, date of birth (DOB) and GP details, will be securely uploaded to the Tabi Health third party dtabase for electronic storage, and it will be kept in line with data protection regulations along with the details of the consultation (i.e., medicines provided).

    I understand that I can speak to a member of staff about any queries regarding this consultation, including exercising my rights under data protection legislation.

    I will contact Tabi Health if I start taking any new meidicnes, if my medical conditions chnage, or if I experience side effects.

    I will stop treatment and contact my doctor if i develop any lumps in my neck or a hoarse vocie while taking this medication

    I understand that this medication may increase the risk of pancreatitis, gallbladder problems, and gallstones. If i experience abdominal pain, I will seek medical advise.

    I will read the patient information leaflet provided with my medication

    I understand that this medication can make the pill less effective. I should use extra prtection like condoms, during treatment.

  • Book an appointment for assessment at least ONCE everything 3 months.

    Your order will be delayed if no appointment is booked within 3 months.
  • prevnext( X )
                Mounjaro 2.5mgWe would deduct this from your injection cost.
                £189.00
                  
                Mounjaro 5.0mgWe would deduct this from your injection cost.
                £239.00
                  
                Mounjaro 7.5We would deduct this from your injection cost.
                £339.00
                  
                Mounjaro 10.0mgWe would deduct this from your injection cost.
                £359.00
                  
                Mounjaro 12.5mgWe would deduct this from your injection cost.
                £429.00
                  
                Mounjaro 15mgWe would deduct this from your injection cost.
                £429.00
                  
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                £0.00
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