Your answers are checked against fixed clinical rules before any money changes hands, and the final decision belongs to a pharmacist independent prescriber who is free to say no. Eligibility is worked out from your BMI, your medical history and the medicines you already take, and identity checks (plus, for people switching from another provider, evidence of the dose they are already on) have to be satisfied before a first prescription is approved.
This article is for anyone who wants to know what actually happens to a weight-loss questionnaire before a prescription is written. It sets out what happens to a questionnaire submitted to The Weight Clinic, in the order it happens, including every point at which the answer can be no.
The first decision happens before you pay
The online questionnaire is free. It asks about your weight, height and sex first, and your contact details last. That order is deliberate: you find out whether treatment is even a possibility before any payment is taken.
Eligibility is applied by the system, against the same rules for every person who completes the form. There is no salesperson involved and nothing to negotiate. There is no general first-order discount code, so the price shown is the price charged, plus £5 tracked delivery per order. Where the rules say treatment is not appropriate for you, the system does not offer it.
Approval is a separate step from those rules. A pharmacist independent prescriber still has to review your case, and where a prescriber declines to supply, the payment is refunded. You can see what the form asks by starting the free online consultation, and you can read about the medicines themselves on the treatments pages.
What the questionnaire asks, and why
Height, weight and BMI
Your BMI is calculated from the height and weight you enter and compared against the eligibility threshold the rules set. If your BMI falls below that threshold, the system does not offer the treatment, regardless of what you would prefer. If you are unsure where you sit, our guide to the eligibility criteria for Mounjaro in the UK sets out how the thresholds work.
Medical history and contraindications
The rest of the form screens for conditions and histories that make a GLP-1 medicine unsuitable. Some answers rule treatment out altogether. Others do not rule it out but mean a prescriber needs to look at your case in more detail, or ask for more information, before anything is signed. The point of asking these questions in writing, before a consultation, is that the prescriber arrives at the appointment already knowing what needs discussing.
The medicines you already take
You are asked what else you are taking, prescribed or otherwise. This matters for interactions, for conditions your medicines imply, and for making sure you are not already on a treatment in the same class through another route. Incomplete answers here can mean a prescriber has to pause the order and ask for more detail before anything is signed.
Why identity verification comes before a first treatment
These are prescription-only medicines. Before a first treatment is approved, you complete a photo identity check. It confirms that the person being assessed is the person the medicine will be dispensed to, and that the details on the questionnaire belong to a real, identifiable patient.
It is also one of the two things that make a first order slower than a repeat one: the wait on a first order is your ID check and the consultation slot you choose.
Why switchers have to evidence their dose, not declare it
If you are already on a GLP-1 medicine from somewhere else and want to continue at the dose you are on, you must upload evidence of your current supply and dose before that dose can be issued. A typed claim is not enough on its own.
The reason is straightforward: without evidence, someone who has never taken the medicine could claim a high dose in order to start above the dose a new patient would be given. An unevidenced claim of a high dose is not accepted. That does not necessarily mean refusing treatment altogether, but it does mean starting where the rules say a new patient starts, rather than where you say you are.
The dose ladder is enforced by rules, not requests
Doses move one step at a time. At each order, the options available are your current dose, one step up, or one step down. There is no path through the system that jumps two steps because a patient asked for it.
Switching between medicines follows published dose-equivalence rules, so a dose on one product maps to a defined dose on another rather than to whichever strength looks closest in price. If you want to go up faster than the ladder allows, that is a conversation with a prescriber, not a setting you can change at checkout. There is a tick box on a reorder that asks a prescriber to review your dose before the order is dispatched.
The video consultation with a named prescriber
Before a first treatment, you book a 10-minute video consultation from the available slots and speak to a pharmacist independent prescriber. They go through what you have written, ask about anything that needs clarifying, explain how the medicine is taken, and check that you understand what you are agreeing to.
Since 1 August 2026, the average gap between booking and the appointment itself has been 48 hours. That gap is largely your choice of slot: the calendar shows what is available and you pick.
Review, signature and dispensing
After the consultation the prescriber reviews the case and, if they are satisfied, electronically signs the prescription. It goes to North Harrow Pharmacy, 509 Pinner Road, North Harrow, Harrow HA2 6EH, which is The Weight Clinic's own dispensing pharmacy (GPhC premises registration 1034996), not a third-party fulfilment house. It is dispensed there and sent by Royal Mail Tracked 24 with Signature in discreet packaging.
First orders wait on your identity check and the appointment slot you choose, while repeat orders are approved within 24 hours of payment in 89% of cases and dispatched within 24 hours of approval in 90%, averaging 24 hours from payment to dispatch. Our article on how long it takes, with our real turnaround times sets out the stage-by-stage figures.
What happens when the answer is no
A prescriber can decline an order. Where that happens, the payment is refunded. A prescriber can also place an order on hold and request more information, which blocks dispatch until you answer, so a case cannot quietly proceed while a clinical question is outstanding.
You can also stop the process yourself. You can cancel before dispatch. If no consultation appointment was ever booked, you are refunded in full. If an appointment was booked, the refund is less £25, whether or not the appointment went ahead and whether or not it was later cancelled or rearranged; we never retain more than you paid. If a prescriber declines to supply, your payment is refunded and the £25 does not apply.
Who is accountable for the decision
The service is operated by Salaam Health Ltd (company number 11452647), registered at Devonshire House, 582 Honeypot Lane, Stanmore HA7 1JS, with ICO registration ZA791809. The superintendent pharmacist is Andrew Lane (GPhC 2027876). The decision rests with a named pharmacist independent prescriber, and the registered pharmacy that dispenses it operates under a named superintendent pharmacist, Andrew Lane (GPhC 2027876). You can read who the prescribers are on our about page.
The GPhC register at pharmacyregulation.org is searchable by pharmacy name, town or registration number. You can read more about the team on our about page, and our article on whether The Weight Clinic is legitimate explains what else to look for when assessing any online pharmacy.
Frequently asked questions
Do I have to pay before I find out whether I am eligible?
No. The questionnaire is free and the eligibility rules are applied to your answers before any payment is taken. If a prescriber then declines to supply, your payment is refunded.
Why does the questionnaire ask for my contact details last?
The clinical questions are the ones that decide whether treatment is a possibility, so they come first: weight, height and sex at the start, contact details at the end. The questionnaire is free to complete either way, so you reach the eligibility outcome before any payment is taken.
What happens if the prescriber decides not to prescribe?
The order is refused and your payment is refunded. A prescriber can also put an order on hold and request more information instead of refusing it, in which case dispatch is blocked until you reply.
I am already on a higher dose with another provider. Can I continue at it?
Only if you can evidence it. You will be asked to upload proof of your current supply and dose before that dose can be issued. A claimed dose with no evidence behind it is not accepted, and treatment would have to start at the dose the rules set for a new patient.
Why do I need to verify my identity?
These are prescription-only medicines, so we confirm that the person assessed is the person the medicine is dispensed to. The photo ID check has to be completed before a first treatment is approved.
Can I ask for a bigger dose increase than the system offers?
The system will only offer your current dose, one step up or one step down, and switches between medicines follow published dose-equivalence rules. Anything outside that is a clinical discussion with a prescriber rather than a choice you can make at checkout.
