Tell us your BMI

If you have been asked to provide us with your BMI, first please use the NHS BMI calculator and complete the form below one you have it.

Your Details

Title

First Names

Surname

Date of Birth

Home Address

Postcode

Best telephone number to contact you

HeightSpecify if in cm or ft / in

WeightSpecify if in kg or stones / lbs

BMI (having used the NHS BMI calculator link above)

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

I consent to my information being used for the purposes described above and wish to submit this online form to Prentis Medical Centre • 2 Prentis Road, Streatham, London, SW16 1XU.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

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