Medi-Transform Online makes it possible for you to lose weight with our Medi-Transform Moderate program wherever you are.
It is as easy as fillling in our online form below and making an EFT payment.
We will email you your individualized medical eating plan as soon as payment reflects.

You will be contacted by our office to make an appointment for weekly 15 minute phone consults with one of our weight loss specialists.

Medi-Transform Moderate is a low carbohydrate, high protein medical eating plan that is created according to your specific needs. Weight loss is 700g to 1kg per week.

Cost: R1950 per 8 week course

Surname:
First Name:
Phone Number:
Email Address:
Age:
Gender:
Current weight:
Height:
How much weight you would like to lose:
Medication you are taking:
Supplements you are taking:
Chronic medical conditions:
Surgeries (when/why):
Allergies:
Do you have or have you experienced any of the following:
Any recent blood tests results:
What exercise do you do, how many times a week, and how long per session: