Skip to content

Canary Wharf and Birmingham! New patient in-clinic GP appointment only £20! Use code NEW2023 when booking.

MyHealthcare Clinic Logo
  • Medical

    • GP Consultations

      • GP Consultations
      • Health Screens
      • Ear Wax Removal
      • Weight Loss
      • Joint Injections
      • Vaccines

      Specialists

      • Psychologist
      • General Dermatology
      • Paediatrician
      • Child Assessments
      • Physiotherapy
      • Gynaecology
      • Podiatry
      • Diet and Nutrition

      Skin Clinic

      • General Dermatology
      • Mole Checks
      • Cryotherapy & Wart Removal
      • Minor Skin Surgery
      • Facial Aesthetics

      Aesthetics

      • Dermal Fillers
      • Anti-wrinkle injections
      • Chemical skin peel
      • Pigmentation & Acne Treatment

      Tests

      • Blood Tests
      • Fertility Tests
      • Prenatal Testing

      Scans

      • General Ultrasound
      • Pregnancy Ultrasound

      Women's Health

      • Fertility
      • Gynaecology
      • Pelvic Ultrasound
      • Pregnancy Ultrasound
      • Prenatal Testing
      • Breast Ultrasound
      • Contraceptives
      • Menopause

      Sexual Health Clinic

      • Sexual Health Testing
      • Contraceptives

      OFFERS

      AdobeStock_400817177

      £65 New Patient GP Appointment

      View our offers
  • Dental

    • General Dentistry

      • Dental Exam
      • Hygiene
      • Emergency Dental Appointments
      • Children’s Dentistry

      Orthodontics

      • Invisalign
      • Braces

      Cosmetic Dentistry

      • Smile Makeover 
      • Teeth Whitening

      Implants

      • Dental Implants

      OFFERS

      AdobeStock_166138842

      Free Invisalign Consultation

      OFFERS

      AdobeStock_256635722

      Free Dental Implant Consultation

      View our offers
  • Memberships

    • Dental

      Proactive private Dental & Hygiene care for a healthy smile

      Adult - £25 / month

      Child - £10 / month

      GP

      Personal private GP always on hand for you & your family

      Adult - £35 / month

      Child - £10 / month

      Complete

      Combine our Dental & GP plans for comprehensive proactive healthcare

      Adult - £45 / month

      Child - £15 / month

      Premium

      Perfect for complete peace of mind - with advanced medical & dental care

      Adult - £65 / month

      Child - £15 / month

      Compare memberships
  • Locations

    • Our Locations

      Give us a call or send us an enquiry to book your appointment.

      0207 971 1787

      Book now

      Birmingham

      Balham

      Canary Wharf

      Chiswick

      Clapham Junction

      Finchley

      Fulham

      Great Portland Street

      Wandsworth

      Wimpole Street

      View all our locations

  • Fees
  • Offers
  • About

    • About Us

      • About us
      • Our Team

      Professional Network

      • Referrals
      • Careers

      Resources

      • Blog
      • Conditions

      Workshops

      • Workshops

      OFFERS

      View our offers
  • Contact
  • Book Online
MyHealthcare Clinic Logo
  • Medical
    • GP Consultations
      • GP Consultations
      • Health screens
      • Ear Wax Removal
      • Weight Loss
      • Joint Injections
      • Vaccines
    • Skin Clinic
      • General Dermatology
      • Mole Checks
      • Cryotherapy & Wart Removal
      • Minor Skin Surgery
      • Facial Aesthetics
    • Women’s Health
      • Fertility
      • Gynaecology
      • Pelvic Ultrasounds
      • Pregnancy Ultrasound
      • Prenatal Testing
      • Breast Ultrasound
      • Contraceptives
      • Menopause
    • Tests
      • Blood Tests
      • Fertility Tests
      • Prenatal Testing
    • Scans
      • General Ultrasound
      • Pregnancy Ultrasound
    • Sexual Health Clinic
      • Sexual Health Testing
      • Contraceptives
    • Specialists
      • Psychologist
      • General Dermatology
      • Paediatrician
      • Child Assessments
      • Physiotherapy
      • Gynaecology
      • Podiatry
      • Diet and Nutrition
    • Aesthetics
      • Dermal Fillers
      • Anti-wrinkle injections
      • Chemical skin peel
      • Pigmentation & Acne Treatment
    • Offers
  • Dental
    • General Dentistry
      • Dental Exam
      • Hygiene
      • Emergency Dental Appointments
      • Child Dentistry
    • Orthodontics
      • Invisalign
      • Braces
    • Cosmetic Dentistry
      • Smile Makeover 
      • Teeth Whitening
    • Implants
      • Dental Implants
    • Offers
  • Memberships
  • Locations
    • Birmingham
    • Balham
    • Canary Wharf 
    • Chiswick clinic
    • Clapham Junction
    • Finchley
    • Fulham
    • Great Portland Street
    • Wandsworth
    • Wimpole
  • Fees
  • Offers
  • About us
    • About Us
      • About us
      • Our team
    • Professional Network
      • Careers
      • Referrals
    • Resources
      • Blog
      • Conditions
    • Workshops
      • Workshops
    • Offers
  • Contact
Search
Close
Menu
Struggling to lose weight? Join our waiting list! Start your free eligibility assessment here.

    Your journey starts with completing a questionnaire that will be reviewed by one of our GPs. Please complete the information as accurately as possible, so we can assess your suitability for our programme.

    The information you submit is safe. Data you send via this form is encrypted and is stored securely on MyHealthcare Clinic servers. Remember, your responses will be kept confidential.

    Your details

    Your contact details

    Date of birth

    Please indicate preferred contact method

    What measurement would you like to use?

    What is your height in cm?

    What is your height in feet and inches?

    What is your current weight in kg?

    What is your current weight in stone and pounds?

    What sex were you assigned at birth?

    Are you pregnant, breastfeeding or trying for a baby?

    Please note that our treatment programme is not suitable for use while breastfeeding, pregnant, or currently trying for a baby.

    What is your ethnic background?

    Why we ask for your ethnic background? Individuals with ethnic backgrounds face a higher likelihood of weight-related health issues even at a lower BMI. Our medical professionals consider this factor when evaluating the appropriateness of your treatment.

    How would you rate your physical fitness?

    How many hours of physical activity do you do per week?

    eg. gym, running, swimming or team sports

    Have you been diagnosed with or experienced any of the following?

    Please choose all that apply

    Please choose all that apply

    Do you take any medications?

    Have you ever taken any medication for weight loss?

    Do you have any allergies?

    How would you rate your mood in the last 2 weeks?

    Please select any that are true for you

    Would you like to inform your GP about this treatment?

    Please share the name of your GPs surgery


    By submitting this form, you agree with the storage and handling of your data by our team. Please wait for the form to refresh after pressing submit.

    Basket

    Your basket is currently empty.

    Return to shop

    Can't find what you're looking for?

    We cover everything from Orthodontics to Dermal Fillers. If you’re curious about the other treatments and services we offer, just search for them here

    • MyDental
    • MyMedical
    • MySpecialists
    • MyMemberships

    Contact

    T: 0207 971 1787

    E: [email protected]

    Find a clinic

    © MyHealthcare Clinic

    Privacy | Complaints Process | Booking Policy | Careers

    MyHealthcare Clinic Logo
    Care_Quality_Commission_logo.svg
    Medical Website Design by Medico Digital
    Call
    Email

      Make an enquiry online using this form and one of our team will be in touch. By using this form you agree with the storage and handling of your data by our team.

      ×
      02072824951