Patient Nomination — Endura Weight Loss Solutions

Step 1 of 4

Your details

As the nominating physician

Doctor's full name

Please enter your name

Your mobile number

+91

Please enter a valid 10-digit mobile number

Your email address

Please enter a valid email address

Hospital / Clinic

Please enter your hospital or clinic

City

Please enter your city

Step 2 of 4

Patient details

Name and mobile number

Patient's full name

Please enter the patient's name

Patient's mobile number

+91

Please enter a valid 10-digit mobile number

Step 3 of 4

Procedure details

Which procedure was performed and when?

Procedure type

Procedure date

Please select the procedure date

Step 4 of 4

Confirm & submit

Review all details before submitting — tap Edit to make changes

Nominating doctor Edit

Name

—

Mobile

—

Hospital

—

City

—

Patient Edit

Name

—

Mobile

—

Procedure Edit

Type

—

Date

—

What happens next: Endura Weight Loss Solutions will review and approve the nomination, followed by patient onboarding by The Good Weight team within 24 hours.

Nomination submitted!

Endura Weight Loss Solutions will review the nomination, followed by onboarding of the patient by The Good Weight team within 24 hours.

Confirmation email sent to your email

One last step

Tap below to send the welcome message to your patient on WhatsApp.

The Good Weight

Call or email for any support

+91-9363016300 · aftercare@thegoodweight.com

Timings: 9 am to 9 pm