Weight Management Referral

There are a range of weight management services available to patients to offer support and guidance to take those first steps in losing weight. These range from one to one contact with a health care professional to the new NHS Digital Weight Management Service which can be accessed following a referral from the practice.

Getting started on your weight loss journey is as easy as completing this form. Once you’ve done that, one of the practice team will contact you to sign post you to the most appropriate service.

Please ensure you complete the form fully to include your most recent weight reading.

We’re here to help you.

Weight Management Referral

Weight Management Referral


We are required to update our patient records to include ethnicity. Please could you specify your Ethnicity status:
Do you have access to a home blood pressure monitor?

For a list of validated home blood pressure monitors, visit www.bihsoc.org/bp-monitors or discuss with your pharmacy.

Blood Pressure

Please use this date format: DD/MM/YYYY.
Preferred method of contact: