NHS Digital Weight Management Programme Referral Request

Section

BMI

eg. 1.75
eg. 60.6
Exercise / Activity level: *

For more information, please visit NHS: Healthy Weight.

Do you consent for referral to weight management services, provided you meet the referral criteria? *

To be eligible for the weight management service, you must meet the following criteria:

  • Be over 18
  • Have a BMI over 30 or over 27.5 if you are BAME
  • Have diabetes type 1 or 2 and/or hypertension
*