Skip to content

Email Address

info@yourpharmacy.uk

Phone Number

0114 400 0181

Our Location

26 Greenhill Main Road

Home
Services
Travel Clinic
Skin Care
Hayfever and Allergy

Home
Services
Travel Clinic
Skin Care
Hayfever and Allergy

Finasteride

Finasteride

£13.95

Finasteride quantity

Weight Loss Consultation

Please answer the following questions as honestly as possible so we can ensure your preferred treatment is the best treatment for your needs.
Estimated time to complete: 3 minutes

"*" indicates required fields

Step 1 of 11

9%

Please confirm the following:*

I am 18 years old or above.

I am using this service on my own behalf and of my own free will, and any treatment or advice is for my sole use only.

I will inform my GP of any treatment I have received.

I understand my consultation will not be passed to the YourPharmacy online clinical team until I have purchased my preferred treatment.

I agree to YourPharmacy’s Terms & Conditions and Privacy Policy.

I confirm and understand all of the above

Name*

First Last

Date of birth*

Day

Month

Year

What is your sex?*

Phone*

Email*

Street Address*

City*

County / State / Region

ZIP / Postal Code*

Country*

Select Weight*

Select Height*

Please enter your current weight (kg)*

Please enter your current weight (Stones and Pounds)*

Please enter your current height (cm)*

Please enter your current height (Feet and Inches)*

Are you currently pregnant, trying to conceive or breastfeeding?*

I am pregnant

I am breastfeeding

I am trying to conceive

None of the above

Do you have or have you ever had an eating disorder such as anorexia or bulimia?*

Yes

No

Are you currently taking weight loss medication or have used it in the past?*

Yes

No

Please note our clinician may request you to upload proof of your previous weight loss pen*

What weight loss medication are you taking?

Mounjaro

Wegovy

Ozempic

Saxenda

Orlistat

Other

What strength and how long have you been taking it for?*

Are you currently taking any prescription medications?*

Yes

No

Please let us know what prescription medications you are taking.*

Do you have any medical conditions?**

Yes

No

Please let us know your medical conditions.*

Do you have any allergies that you are aware of?*

Yes

No

Please let us know what allergies you have.*

Do you have, or have you ever had, any of the following conditions? Select any that apply.*

Liver disease

Heart failure

Diabetes

Liver disease

Gastroparesis

Kidney condition

High Blood Pressure

High Cholesterol Levels

Sleep Apnoea

Current or Past History of Gallstones or Gallbladder Disease (not Gallbladder Removal)

Current or Past Pancreatitis

Current or Past Endocrinological disorders

Diabetic Retinopathy (Damage to back of eye caused by high sugar levels)

Personal or Family history of MEDULLARY THYROID CARCINOMA (Thyroid Cancer)

Personal history of multiple endocrine neoplasia syndrome type 2 (MED 2) – a disease where there are tumours in more than one gland in the body

Thyroid diseases other than Hyperthyroidism or Hypothyroidism

None of the above

Do you or anyone in your family have a history of thyroid cancer, medullary thyroid carcinoma (MTC), or an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)?*

Yes

No

If you have a medical condition or are taking any medication that may contribute to weight gain, it's important to speak to your GP to determine if weight loss medication is suitable for you.*

I understand

Do you give consent for our prescriber to check your NHS summary care records if required?*

Yes

No

Would you like us to send this consultation to your GP?*

Yes

No

What's the name and address of your GP's practice?*

Please write the full name of your GP and mention the full address

Please confirm the following*

All information I have provided is accurate and honest to enable YourPharmacy prescribers to make the best decision in regards to my health.

I consent to be contacted via WhatsApp (if applicable)

I will read, understand and follow the instructions in the patient information leaflet, including the risks and side effects, before taking my treatment.

I am happy for the YourPharmacy clinicians to contact me if necessary to ensure suitability and safety.

I will upload a full length, clothed picture of myself after I have placed my order for the pharmacist to visually confirm my BMI..

I understand there is a refund fee of £10 if I cancel my order.

I am aware YourPharmacy can refuse or withdraw service without providing a reason (a refund will be issued).

I will seek medical advice via a GP, NHS 111, walk in centre, pharmacy and if necessary, A&E if I experience any adverse effects from my treatment.

I will seek medical advice if my medical circumstances or condition changes..

If you haven’t ordered this medication before, you will need to have a full consultation with our pharmacist before we can issue your prescription. After you place your order, we will contact you to arrange this.

Upload a full length picture*

Max. file size: 2 GB.

Ordered with us before? Click here to reorder from your account.

Pharmacy Info

Company Registration: 14116972
Premises GPhC Number: 9012029
Superintendent: Adil Amini (2083818)

Social Media

Facebook Instagram Tiktok

Useful Links

Home
About Us
Contact Us
Services
Blog
Healthy Living Pharmacy

Quick Links

Returns & Refunds Policy
Feedback & Complaints
Terms and Conditions
Delivery Information
Privacy Policy
Cancellation
Cookie Policy
Disclaimer

Contact

26 Greenhill Main Road, Sheffield, South Yorkshire, S8 7RD
0114 400 0181
Info@yourpharmacy.uk

Opening Hours

Mon – Fri: 09:00 to 17:00
Saturday: Closed
Sunday: Closed

Subscribe Newsletter

© 2022-2025, YourPharmacy Powered by Techie

✕

Your next dose is just a click away. Select the option that works best for you and reorder today.

Reorder same strength

Order Next Strength