NHS Digital Weight Management Programme Referral Request

If you meet the eligibility criteria and wish to be referred to the NHS Digital Weight Management Programme, please submit this form.

Eligibility criteria:

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