Skip to main content
Translate this website

Tier 3 weight management service request

Use this service to request a referral to a specialist NHS Tier 3 weight management programme.

Tier 3 services are specialist NHS programmes designed to support patients with complex weight-related health needs.

There is currently a long wait for Tier 3 services. Submitting this form does not guarantee a referral. Your eligibility will be checked.

Eligibility criteria

You may be eligible for referral to a Tier 3 weight management service if you meet one of the following:

Option 1 – BMI 35 to 39.9 (or 32.5 to 39.9 if of South Asian heritage)

  • You have completed a structured weight management programme
  • You have at least one long-term health condition

Option 2 – BMI 40 to 49.9

  • You have completed a structured weight management programme
  • A long-term condition is not required

Option 3 – BMI 50 or above

  • No other criteria required

If you do not meet this criteria, you have access to Health Dudley, NHS Digital Weight Management, Health and Welling Coaches. 

Important: Important

We are currently unable to initiate Mounjaro in General Practice.

Before you start

We’ll ask you for:

  • your first and last name, date of birth, sex, postcode, email and phone number
  • if applicable, the details of the person you are completing the form on behalf of
Start now

You can also phone us on 01384 254423 or visit the surgery in person.

Page published: 17 June 2025
Last updated: 18 June 2025