10–20% weight loss possible
BIG-registered doctors
Delivered chilled & discreetly
Fully online support

Fill in all details for treatment plan

Start today! 
Fill in your details and the medical questions. Our specialists immediately assess whether you can start a treatment programme, you will hear within 24 hours whether you can start and receive a payment request first. This is followed by the online consultation and delivery of the medication.

✔ 100% non-binding
✔ In your inbox within 24 hours
✔ Reviewed by a BIG-registered doctor

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Medical data
Please complete the medical questionnaire below so that we can process your application.
Medical data
Fill in the final questions below about your target weight, how long you have been managing your weight so that we can create a targeted treatment plan.

How does it work?

  1. Fill in your details
    We use these to assess your eligibility for a treatment plan.
  2. Know within 24 hours whether you can safely start medication.
    You will receive a payment link within 1 working day if you qualify
  3. Our medical team assesses
    A doctor reviews your answers and, if applicable, immediately draws up a treatment plan. This is discussed with you in an e-consult after which the medication is ordered.

Your data will only be used for medical assessment and will not be shared with third parties.

Why this data?

We need your personal data to:

  • Create a medical record
  • Contacting you if necessary
  • Delivering your medication to the right address
  • Verify your identity

All your data will be treated confidentially according to AVG guidelines.

Weightconsults B.V.
Postal address: Tingietersweg 90
Postcode: 2031 ES Haarlem
Phone number: 088-1232414
E-mail: info@weightconsult.nl
Chamber of Commerce number: 9798380

Pharmacy details: Pharmacy eFarma
Address: Biesland 7
1948 RJ Beverwijk
Phone number: 0251-225525
E-mail: klantenservice@efarma.nl
Chamber of Commerce number: 34135482