Please answer a few medical questions so that our specialists can assess your eligibility and tailor your treatment to your individual needs. Your information will, of course, be kept confidential.

Have you taken prescription weight-loss medications in the past?

Yes, Wegovy®

Yes, Ozempic®

Yes, Saxenda®

No, not yet

Other Medications

What other medications have you taken?

How tall are you? (in cm)

How much do you currently weigh? (in kg)

What is your date of birth?

Please select your biological sex:

Female

Male

What is your ethnic background? (Multiple selections allowed)

White / Caucasian

Black / African

Asian

Hispanic / Latino

Different background

Are you currently taking any medications on a regular basis?

Yes

Please list the medications you are currently taking:

Do you have any relevant pre-existing conditions?

Type 2 Diabetes Mellitus

High Blood Pressure (Hypertension)

Heart Disease

Kidney Diseases

None of the listed pre-existing conditions

Other Pre-existing Conditions

Please describe any other pre-existing medical conditions you have:

Do you suffer from weight-related comorbidities?

Sleep Apnea

Chronic Joint Pain

Lipid Metabolism Disorder (Dyslipidemia)

Fatty Liver

No comorbidities

Do you have any known allergies (especially to medications)?

Yes

Please list your allergies:

How did you hear about NOVVA?

How did you hear about us?

BMI

Unfortunately, treatment is not currently possible.

Your calculated BMI is below the minimum required for the NOVVA program.

Treatment can only be provided if the medical requirements are met.

✓ Provisionally suitable

Based on the information you have provided so far, you meet the basic requirements for a medical examination.

Please fill in your personal information so that our doctors can process your request.

Almost done! Please review your medical information and provide your contact details to complete the eligibility assessment.

First Name

Last Name

Phone number

Email address

Home Address

Street and House Number

City

ZIP Code

Country

I agree to NOVVA's Terms and Conditions, Telemedicine Policy, and Privacy Policy, and I consent to the processing of my medical data.

I hereby confirm that I have provided the above information completely, accurately, and to the best of my knowledge and belief. I certify that this information is true and accurate.

Select a payment method.

The fee for the initial medical examination for your NOVVA program is €99.90.

Each follow-up visit after 3 months costs €29.90. Within the first three months , an additional visit or a follow-up prescription is free of charge.

Costs

99,90€

Payment Method

Pay by credit card (Stripe)

Pay with PayPal

Pay by credit card (Stripe)