Weight Management

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Please complete this secure form about your personal details to start the weight management consultation process with our programme.

It is important to be honest and accurate in this form - we will check everything in your face to face clinic appointment. We require information about your ethnicity as this forms part of the selection criteria.

Once completed, this information is reviewed by our team and we aim to be back in touch with you within 24 hours. The information you provided is then permanently deleted after 2 weeks.

By sumbitting this form I confirm that the information I provided is true and accurate to the best of my knowledge. I accept that this information will be held for 2 weeks by The Stockbridge Clinic (Face Clinic Medical Ltd) before being deleted. I consent for the information I provided to be reviewed by medical professionals. I accept the terms and conditions.
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