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[% total_qty %]
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  Total: [%% basket.cost_subtotal|multi_currency %%]

Online Appointments
- - Online Appointments - Coming Soon!
  GPs
- Psychologists
- - Frequently Asked Questions
    View all
  FAQ
- - Why choose Simple Online Doctor
    
    Our AHPRA registered health professionals are online and ready to help
    
    Australian Registered
    
    Convenient
    
    Easy to use
  Why Us
- - How it Works
    
    Make Appointment
    
    Make an appointment with one of our health experts for an online video consultation
    
    Information
    
    Complete a form to give us some information about why you want to chat to a doctor, and complete payment for your appointment
    
    Get Online
    
    Just be online at the correct time, and start your online consultation with one of our GPs
    
    Find Out More
  How It Works
Online Scripts
Medications
FAQs

Assessment Progress

1About You
2Your health
3Consent

Assessment

Ordered Before? Log in now, and save time completing your assessment and confirm you have verified your ID.

Item added to bag. Click here to view bag.

Please select a size from above to proceed.

There are NHS prescriptions in your basket. Please complete the order first or remove NHS prescriptions from the basket.

Patient Notice! This questionnaire forms the basis of your weight loss consultation today. We need you to be honest with your answers including any current medication you are on. This allows our doctors to prescribe medication that helps you and offer accurate advice. We expect you to read the medicinal information provided before selecting your treatment.

1About You

Confirm Your Delivery Post Code

Search

Recommended Reading >>> Weight Loss

Are you aged between 18-65? *

No Yes

Unfortunately we are unable to prescribe you medication at this time. We recommend you discuss treatment options with your GP

Height (cm) *

Weight ( kg ) *

BMI

Have you taken or are you taking Xenical / Orlistat to help you lose weight? *

No Yes

Did Xenical help with your weight loss? Name any side effects experienced when taking the medication *

2Your health

Are you currently taking any prescription-only medicines, alternative medicines or recreational drugs? *

No Yes

Please give more details; list any medication you are taking.

Do you have any known allergies? *

No Yes

Please give more details *

Do you have any history of kidney or liver conditions? *

No Yes

Unfortunately we are unable to prescribe you medication at this time. We recommend you discuss treatment options with your GP

Have you ever been diagnosed with chronic malabsorption syndrome? (problems with absorbing your food) *

No Yes

Unfortunately we are unable to prescribe you medication at this time. We recommend you discuss treatment options with your GP

Have you ever been diagnosed with gallbladder, bile duct or pancreas disease? *

No Yes

Unfortunately we are unable to prescribe you medication at this time. We recommend you discuss treatment options with your GP

Have you ever been diagnosed, or do you currently suffer with an eating disorder such as anorexia or bulimia? *

No Yes

Unfortunately we are unable to prescribe you medication at this time. We recommend you discuss treatment options with your GP

Are you pregnant, planning to become pregnant or breastfeeding? *

No Yes

Unfortunately we are unable to prescribe you medication at this time. We recommend you discuss treatment options with your GP

3Consent

Do you understand that Orlistat will not work alone. For best results, this medication must be combined with a weight management plan, and regular exercise. *

Confirm

Do you understand that side effects (particularly oily stools), may be more likely if you have a high fat diet. Fat should take up no more than 30% of your calorie intake. *

Confirm

I understand that if I take multivitamin supplements, these should be taken 2 hours after my Orlistat / Xenical dose, or at bedtime. *

Confirm

I confirm I am over 18 years old.

The medicine ordered is for my sole use only.

I will read the patient information leaflet supplied with the medicine specifically the side effects and dosages.

I take responsibility to inform my own regular doctor of the online consultation or any changes in my circumstances.

I agree to the Simple Online Doctor terms and conditions. *

Confirm

We strongly advise that you inform your GP of any treatment you receive.
Would you like us to inform them on your behalf? If you are unsure, you can search your GP clinic information by clicking here.

*

No Yes

Please enter the email address of your GP clinic *

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