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✦ GLP-1 Weight Loss · Surat, Gujarat

Check your
GLP-1 eligibility

Fill in your details below. Dr. Avinash Wankhede and his team will review your suitability and contact you within 24 hours — no commitment required.

3 minto complete
24 hrresponse time
100%confidential
📋

Eligibility Assessment Form

Reviewed personally by Dr. Avinash Wankhede · Cardiologist · Asian Heart Institute

Personal Info Body Metrics Medical History

Personal Information

So we can contact you with your eligibility result.

Step 1 of 3

Body Metrics

This helps Dr. Wankhede assess whether GLP-1 therapy is clinically appropriate for you. BMI is automatically calculated.

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Your estimated BMI
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Medical History

Please be as accurate as possible — this directly guides Dr. Wankhede's assessment of your suitability.

🔒 Confidentiality: Your health information is seen only by Dr. Avinash Wankhede and the Five Star Clinic team for the purposes of this assessment. It is never shared with third parties.
✓

Your assessment is ready to send!

Choose how to submit your details to Five Star Clinic. Dr. Wankhede will personally review your case and get back to you within 24 hours.

📄 Your Assessment Summary
Clinically confidential
Reply within 24 hours
No commitment required
Reviewed by Dr. Wankhede
★ Five Star Clinic & Day Care Centre · 59, Shiven Square, Pal, Adajan, Surat — 395009
Dr. Avinash Wankhede MBBS, PGDCCP(NI) · Dr. Pallavi Wankhede BAMS · 093131 84681 · fivestar.clinic