Book Your Consultation
Complete your health intake form below, then select your preferred appointment time. Your information is strictly confidential.
Consultation Intake Form
Step 1 of 71) About You
1.1) Name *
1.2) Address *
1.3) Phone Number *
1.4) Email Address *
1.5) Date of Birth *
1.5.1) Age
1.6) Gender *
1.7) Weight
ST
LBS
1.8) Height
FT
IN
1.9) BMI (auto-calculated)
1.10) Usual Blood Pressure Range
Why We Collect This
This intake form mirrors the clinical assessment used in our National Medical Weight Loss Programme (NMWLP). Completing it before your appointment allows Dr. Ankrah to arrive fully prepared, making every minute of your consultation count.
Consultation Types
In-Clinic Consultation
Accra, Dakar, Bissau or London
Telehealth Consultation
Anywhere in the world
Initial Consultation
60 minutes
Follow-Up Consultation
30 minutes
Your data is encrypted and handled in full compliance with GDPR. It is shared only with your Aya Health clinical team.
Prefer to contact us directly?
Visit our contact page